Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03572 | Date 04/01/2023 |
| Token No | SM/22-23/8089 10/04/2023 | Serial | 023 |
| Patient Name | Mrs. ANJALI DEVI | Contact No | 9875464370 |
| Address | 97/R PRAVASNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||