Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06448 | Date 19/03/2024 |
| Token No | SM/24-25/21517 03/05/2024 | Serial | 112 |
| Patient Name | Mrs. ANJALI KUMARI | Contact No | 9748974643 |
| Address | 9/1/A/30 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||