Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01470 | Date 20/04/2020 |
| Token No | SM/24-25/25539 25/07/2024 | Serial | 051 |
| Patient Name | Mrs. LALITA SHAW | Contact No | 9123820272 |
| Address | 43/18/1 PRABASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||