Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07437 | Date 13/07/2024 |
| Token No | SM/24-25/24937 13/07/2024 | Serial | 005 |
| Patient Name | Mrs. JAYANTI DEY | Contact No | 9038415322 |
| Address | 47/1 PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||