Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05290 | Date 29/09/2023 |
| Token No | SM/22-23/13724 29/09/2023 | Serial | 021 |
| Patient Name | Mrs. RAJMONI PRAJAPATI | Contact No | 9831726038 |
| Address | 66/Y GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||