Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03983 | Date 25/03/2023 |
| Token No | SM/22-23/7805 25/03/2023 | Serial | 009 |
| Patient Name | Mrs. BUCHIYA DEVI | Contact No | |
| Address | 107 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||