Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04213 | Date 23/05/2023 |
| Token No | SM/22-23/9050 23/05/2023 | Serial | 010 |
| Patient Name | Mrs. PRIYANKA DEBI | Contact No | 6291702615 |
| Address | 81/B PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||