Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08049 | Date 19/10/2024 |
| Token No | SM/24-25/29627 19/10/2024 | Serial | 004 |
| Patient Name | Mrs. URMILA DEVI | Contact No | 6291247982 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||