Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05869 | Date 14/12/2023 |
| Token No | SM/22-23/18427 09/02/2024 | Serial | 058 |
| Patient Name | Mrs. PRIYANKA DAS | Contact No | 6289785602 |
| Address | 43/5 PROVASNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||