Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06099 | Date 25/01/2024 |
| Token No | SM/24-25/32371 06/12/2024 | Serial | 029 |
| Patient Name | Mrs. RUNI DEVI | Contact No | 9473285817 |
| Address | 108 PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||