Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05439 | Date 16/10/2023 |
| Token No | SM/22-23/14433 16/10/2023 | Serial | 040 |
| Patient Name | Miss PREETY KUMARI KURMI | Contact No | 9903869719 |
| Address | 1073 S K NAGAR RISHRA M PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||