Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04474 | Date 10/07/2023 |
| Token No | SM/22-23/11823 14/08/2023 | Serial | 031 |
| Patient Name | Mrs. REKHA KUMARI DEVI | Contact No | 7044017187 |
| Address | 45/A/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||