Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04636 | Date 27/07/2023 |
| Token No | SM/22-23/11052 27/07/2023 | Serial | 036 |
| Patient Name | Mrs. SANGITA GUPTA | Contact No | 6290163167 |
| Address | 70/A/8 PRABASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||