Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03863 | Date 03/03/2023 |
| Token No | SM/22-23/7345 06/03/2023 | Serial | 045 |
| Patient Name | Mrs. APARNA DAS | Contact No | 9875585986 |
| Address | 49/O PURBAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||