Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06623 | Date 25/04/2024 |
| Token No | SM/24-25/27935 09/09/2024 | Serial | 031 |
| Patient Name | Mrs. RANI SHAW | Contact No | 8910311806 |
| Address | 43-18-1 GURUGARDEN ROAD SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||