Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04176 | Date 13/05/2023 |
| Token No | SM/22-23/8816 13/05/2023 | Serial | 023 |
| Patient Name | Mrs. RENU SINGH | Contact No | 9330933400 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||