Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04298 | Date 10/06/2023 |
| Token No | SM/22-23/9435 10/06/2023 | Serial | 004 |
| Patient Name | Miss RINKI SINGH | Contact No | 8240295571 |
| Address | 97/I/1 PRABASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||