Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03440 | Date 19/12/2022 |
| Token No | SM/22-23/7372 09/03/2023 | Serial | 026 |
| Patient Name | Mrs. BABITA KUMARI KEWAT | Contact No | 7980567643 |
| Address | 97/R PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||