Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04665 | Date 31/07/2023 |
| Token No | SM/22-23/14819 30/10/2023 | Serial | 040 |
| Patient Name | Miss TULSHI KUMARI CHAUHAN | Contact No | 7890564378 |
| Address | 97/N/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||