Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00042 | Date 07/09/2019 |
| Token No | SM/22-23/18801 19/02/2024 | Serial | 079 |
| Patient Name | Mrs. MINA DEVI BHARTI | Contact No | 6290502727 |
| Address | 97/H/5 PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||