Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05496 | Date 23/10/2023 |
| Token No | SM/22-23/14705 25/10/2023 | Serial | 006 |
| Patient Name | Mrs. GITA DEVI SONI | Contact No | 8450886318 |
| Address | 87/1/F PROVASNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||