Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05272 | Date 27/09/2023 |
| Token No | SM/24-25/28700 25/09/2024 | Serial | 008 |
| Patient Name | Mrs. PINKI DAS | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||