Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06133 | Date 30/01/2024 |
| Token No | SM/22-23/17941 30/01/2024 | Serial | 030 |
| Patient Name | Mrs. ARTI SHARMA | Contact No | 7890988638 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||