Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04786 | Date 10/08/2023 |
| Token No | SM/25-26/12110 18/12/2025 | Serial | 023 |
| Patient Name | Mrs. JAGAVANTI DEVI | Contact No | 9140334580 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||