Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05959 | Date 28/12/2023 |
| Token No | SM/22-23/18806 19/02/2024 | Serial | 084 |
| Patient Name | Mrs. RINKU KUMARI | Contact No | 9163756871 |
| Address | 97/H/5 PROVASNAGAR RAJAKPARA SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||