Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04339 | Date 16/06/2023 |
| Token No | SM/22-23/9853 23/06/2023 | Serial | 015 |
| Patient Name | Mrs. NANDA DEBI SHARMA | Contact No | 9123634314 |
| Address | 1339 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||