Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06341 | Date 23/02/2024 |
| Token No | SM/22-23/18955 23/02/2024 | Serial | 010 |
| Patient Name | Mrs. GULDAWADI DEVI | Contact No | 7461858694 |
| Address | 9/437 PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||