Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06197 | Date 06/02/2024 |
| Token No | SM/22-23/18250 06/02/2024 | Serial | 029 |
| Patient Name | Mrs. SUNITA DEVI | Contact No | 9163941102 |
| Address | 9/6/6 N.J ROAD PRAVASNAGAR SERAMPORE 712249 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||