Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06143 | Date 01/02/2024 |
| Token No | SM/22-23/18116 03/02/2024 | Serial | 013 |
| Patient Name | Mrs. PRATIMA RAY | Contact No | 8100057757 |
| Address | 9/433 GURU GARDEN ROAD PRAVASNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | 150CM cm |
| Diagnosis | |||