Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05288 | Date 29/09/2023 |
| Token No | SM/22-23/19763 13/03/2024 | Serial | 018 |
| Patient Name | Mrs. SARASWATI DEVI | Contact No | 9804897283 |
| Address | 66/Y GURU GARDEN ROAD SERAMPORE M 712249 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||