Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06787 | Date 15/05/2024 |
| Token No | SM/24-25/22513 30/05/2024 | Serial | 032 |
| Patient Name | Mrs. JYOTI KUMARI SHAW | Contact No | 9007573223 |
| Address | 67/B/3 PRAVASNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||