Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05480 | Date 19/10/2023 |
| Token No | SM/22-23/14616 19/10/2023 | Serial | 036 |
| Patient Name | Miss KHUSHBU KUMARI | Contact No | 9804848523 |
| Address | 87/1/R PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||