Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02593 | Date 31/08/2022 |
| Token No | SM/24-25/28401 19/09/2024 | Serial | 029 |
| Patient Name | Mrs. SANJU SHAW | Contact No | 9674513019 |
| Address | 97/F/4/1 DHOBIYA PARA PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||