Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04952 | Date 25/08/2023 |
| Token No | SM/22-23/12341 25/08/2023 | Serial | 036 |
| Patient Name | Miss SANGITA KUMARI GUPTA | Contact No | 6290964219 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||