Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01781 | Date 01/06/2022 |
| Token No | SM/22-23/4959 05/12/2022 | Serial | 013 |
| Patient Name | Mrs. LAXMI RANI DAS | Contact No | 7439269382 |
| Address | 43/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||