Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04400 | Date 30/06/2023 |
| Token No | SM/22-23/10421 12/07/2023 | Serial | 001 |
| Patient Name | Mrs. SINDHU DEVI | Contact No | 8478835895 |
| Address | 127 PRABASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||