Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05508 | Date 27/10/2023 |
| Token No | SM/22-23/14829 30/10/2023 | Serial | 050 |
| Patient Name | Mrs. RITA DEVI CHOUHAN | Contact No | 7890564378 |
| Address | 97/N/2/A PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||