Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04055 | Date 17/04/2023 |
| Token No | SM/22-23/18560 12/02/2024 | Serial | 041 |
| Patient Name | Mrs. MITHILA DAS | Contact No | 8617277518 |
| Address | 42/43/A/2 PURBAPARA PROVASHNAGAR SERAMPORE 712249 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||