Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08390 | Date 14/12/2024 |
| Token No | SM/24-25/32763 14/12/2024 | Serial | 017 |
| Patient Name | Mrs. NIRMALA DEVI | Contact No | 8276885914 |
| Address | 881/1 S K NAGARA PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||