Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05328 | Date 04/10/2023 |
| Token No | SM/22-23/13897 04/10/2023 | Serial | 014 |
| Patient Name | Mrs. REKHA GROVER | Contact No | 8013572208 |
| Address | 7/2 4/20/C PRAVASHNAGAR SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||