Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03237 | Date 24/11/2022 |
| Token No | SM/22-23/8326 21/04/2023 | Serial | 010 |
| Patient Name | Mrs. SUNITA DEVI | Contact No | 8100368423 |
| Address | 29/C PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||