Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07264 | Date 29/06/2024 |
| Token No | SM/24-25/24064 29/06/2024 | Serial | 045 |
| Patient Name | Mrs. SAKILA DEBI | Contact No | |
| Address | 97/0/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||