Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09143 | Date 21/04/2025 |
| Token No | SM/25-26/1297 28/04/2025 | Serial | 041 |
| Patient Name | Mrs. MAYA ROUTH | Contact No | 9007398341 |
| Address | 97/H/12 PRAVASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||