Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05506 | Date 27/10/2023 |
| Token No | SM/24-25/31103 14/11/2024 | Serial | 015 |
| Patient Name | Mrs. NUTAN DEVI | Contact No | 9831967689 |
| Address | 87/1/C PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||