Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01915 | Date 13/06/2022 |
| Token No | SM/22-23/7338 06/03/2023 | Serial | 038 |
| Patient Name | Mrs. ILARANI DAS | Contact No | 9051531457 |
| Address | 72/A3 PURBAPARA SERAMPORE PRABASHNAGAR 712249 | Age | 43 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||