Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08375 | Date 09/12/2024 |
| Token No | SM/24-25/32564 09/12/2024 | Serial | 106 |
| Patient Name | Mrs. SHAKUNTALA DEBI | Contact No | 9163925330 |
| Address | CHAMBAL GHATI PRAVASHNAGAR SERAMPORE 712249 | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||