Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06428 | Date 13/03/2024 |
| Token No | SM/22-23/19802 13/03/2024 | Serial | 057 |
| Patient Name | Mrs. MINA DEVI | Contact No | 7596920259 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||