Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08550 | Date 13/01/2025 |
| Token No | SM/24-25/37572 28/03/2025 | Serial | 018 |
| Patient Name | Mrs. MANAKO DEVI | Contact No | 8777239754 |
| Address | 97/N/1/A PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||