Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05119 | Date 12/09/2023 |
| Token No | SM/22-23/19284 01/03/2024 | Serial | 045 |
| Patient Name | Mrs. DOLLY KUMARI | Contact No | 8115884920 |
| Address | 97/N/5 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||