Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07775 | Date 30/08/2024 |
| Token No | SM/24-25/27377 30/08/2024 | Serial | 010 |
| Patient Name | Mrs. USHA DEVI HELA | Contact No | 6291524854 |
| Address | 43/D PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||