Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04875 | Date 19/08/2023 |
| Token No | SM/22-23/12083 21/08/2023 | Serial | 019 |
| Patient Name | Mrs. ANITA SHARMA | Contact No | 9123634314 |
| Address | 66/B GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||