Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05321 | Date 03/10/2023 |
| Token No | SM/24-25/25911 02/08/2024 | Serial | 004 |
| Patient Name | Mrs. RINA RAJAK | Contact No | 7890869023 |
| Address | 97/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/59 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||