Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06024 | Date 08/01/2024 |
| Token No | SM/24-25/21450 03/05/2024 | Serial | 045 |
| Patient Name | Mrs. KANCHAN SINGH | Contact No | 6290184456 |
| Address | 43/20/E PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||