Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00980 | Date 17/02/2020 |
| Token No | SM/22-23/9017 22/05/2023 | Serial | 010 |
| Patient Name | Mrs. LAXMI DEVI | Contact No | 9163195497 |
| Address | 107/E GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||