Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00646 | Date 02/01/2020 |
| Token No | SM/24-25/28911 30/09/2024 | Serial | 009 |
| Patient Name | Mrs. PRATIMA MONDAL | Contact No | 9903553261 |
| Address | 43/32/B/2 PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||