Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04034 | Date 10/04/2023 |
| Token No | SM/22-23/8935 18/05/2023 | Serial | 020 |
| Patient Name | Mrs. DROPATI DEVI | Contact No | 9088205968 |
| Address | 97/I/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||