Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03719 | Date 06/02/2023 |
| Token No | SM/22-23/8099 10/04/2023 | Serial | 033 |
| Patient Name | Mrs. FUL KUMARI SAHANI | Contact No | 8777070565 |
| Address | 107 GURU GARDEN ROAD SERAMPORE 712249 | Age | 23 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||