Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03829 | Date 24/02/2023 |
| Token No | SM/22-23/7043 24/02/2023 | Serial | 013 |
| Patient Name | Mrs. ANITA DEBI | Contact No | 9051261100 |
| Address | NAYA BASTI PRAVASHNAGAR SERAMPORE 712249 | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||