Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05189 | Date 21/09/2023 |
| Token No | SM/22-23/13337 21/09/2023 | Serial | 021 |
| Patient Name | Mrs. PUJA KUMARI SHAW | Contact No | 7003805397 |
| Address | 126/C PROVASNAGARV SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||