Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04341 | Date 16/06/2023 |
| Token No | SM/22-23/15714 22/11/2023 | Serial | 038 |
| Patient Name | Mrs. KAVITA SHARMA | Contact No | 9123634314 |
| Address | 66/B GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||