Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05251 | Date 26/09/2023 |
| Token No | SM/24-25/24044 29/06/2024 | Serial | 025 |
| Patient Name | Miss GOURI SARKAR | Contact No | 7003521788 |
| Address | 43/2 PRABASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||