Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03673 | Date 31/01/2023 |
| Token No | SM/22-23/9421 09/06/2023 | Serial | 025 |
| Patient Name | Mrs. PRITI DEVI SINGH | Contact No | 8528900618 |
| Address | 97/H/6 PROVASNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||