Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05979 | Date 30/12/2023 |
| Token No | SM/22-23/17084 30/12/2023 | Serial | 036 |
| Patient Name | Mrs. KOMAL OJHA | Contact No | 9330184909 |
| Address | 62 PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||