Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08085 | Date 23/10/2024 |
| Token No | SM/24-25/29941 23/10/2024 | Serial | 013 |
| Patient Name | Mrs. KALABATIDEBI MAHATO | Contact No | 8420424605 |
| Address | 43/20/B PRAVASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||