Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 08325 | Date 29/11/2024 |
| Token No | SM/24-25/32036 29/11/2024 | Serial | 050 |
| Patient Name | Mrs. NANDITA DAS | Contact No | 9163313643 |
| Address | 108/1 R A K ROAD SOUTH DUMDUM BANGUR AVENUE N 24 PRGS 700055 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||