Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05374 | Date 09/10/2023 |
| Token No | SM/22-23/14142 09/10/2023 | Serial | 062 |
| Patient Name | Miss ANJALI SHARMA | Contact No | 9903168401 |
| Address | B-1/07 SUBASHNAGAR PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||