Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02504 | Date 22/08/2022 |
| Token No | SM/22-23/18842 20/02/2024 | Serial | 032 |
| Patient Name | Mrs. SUMAN SHAW | Contact No | 7439760462 |
| Address | 107/F PRABASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||