Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06865 | Date 28/05/2024 |
| Token No | SM/24-25/22374 28/05/2024 | Serial | 004 |
| Patient Name | Mrs. GAYATREE DEVI | Contact No | 9473285817 |
| Address | 108 PRAVASHNAGAR SERAMPORE 712249 | Age | 69 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||