Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06664 | Date 30/04/2024 |
| Token No | SM/24-25/21361 30/04/2024 | Serial | 010 |
| Patient Name | Mrs. SUMAN KUMARI SHAW | Contact No | 7044245536 |
| Address | 97/Z PROVASNAGAR SEARMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||