Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05536 | Date 31/10/2023 |
| Token No | SM/22-23/14920 01/11/2023 | Serial | 002 |
| Patient Name | Mrs. NIBHA SRIVASTAVA | Contact No | 8002829007 |
| Address | 80/1/A PRAVASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||