Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08386 | Date 12/12/2024 |
| Token No | SM/24-25/32696 12/12/2024 | Serial | 034 |
| Patient Name | Mrs. SHASHTE DASI | Contact No | 6291336844 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||