Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05375 | Date 09/10/2023 |
| Token No | SM/22-23/14145 09/10/2023 | Serial | 065 |
| Patient Name | Mrs. BEENA YADAV | Contact No | 9580902409 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||