Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02867 | Date 12/10/2022 |
| Token No | SM/22-23/7496 13/03/2023 | Serial | 029 |
| Patient Name | Mrs. REKHA THAKUR | Contact No | 9748116627 |
| Address | 107/A PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||