Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02896 | Date 14/10/2022 |
| Token No | SM/24-25/23205 15/06/2024 | Serial | 039 |
| Patient Name | Mrs. PRATIMA PRAMANIK THAKUR | Contact No | 6289641797 |
| Address | 66/B GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||