Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00054 | Date 09/09/2019 |
| Token No | SM/22-23/19789 13/03/2024 | Serial | 044 |
| Patient Name | Mrs. DAYA DEVI PASWAN | Contact No | 8229926967 |
| Address | 97/W PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||