Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06451 | Date 20/03/2024 |
| Token No | SM/24-25/21501 03/05/2024 | Serial | 096 |
| Patient Name | Mrs. SWEETY SINGH | Contact No | 8777858571 |
| Address | 1/B/39 PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||