Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04630 | Date 27/07/2023 |
| Token No | SM/24-25/26157 07/08/2024 | Serial | 032 |
| Patient Name | Mrs. CHUNNI DEVI | Contact No | 9836523984 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||