Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06352 | Date 24/02/2024 |
| Token No | SM/22-23/19000 24/02/2024 | Serial | 010 |
| Patient Name | Mrs. RINA CHOWDHURY PASHI | Contact No | 9674376734 |
| Address | 9/437 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||