Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03537 | Date 30/12/2022 |
| Token No | SM/22-23/16401 12/12/2023 | Serial | 026 |
| Patient Name | Mrs. GANGOTREE TIWARI | Contact No | 9883670194 |
| Address | 97/K/1 PRABASHNAGAR SERAMPORE 712249 | Age | 75 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||