Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05041 | Date 02/09/2023 |
| Token No | SM/22-23/12643 02/09/2023 | Serial | 026 |
| Patient Name | Miss NIKITA KUMARI | Contact No | 9330695658 |
| Address | 97/H/7 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||