Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06432 | Date 15/03/2024 |
| Token No | SM/24-25/21028 22/04/2024 | Serial | 072 |
| Patient Name | Mrs. PRITI KUMARI VARMA | Contact No | 9748178696 |
| Address | 85 PRAVASNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||