Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06754 | Date 10/05/2024 |
| Token No | SM/24-25/21778 10/05/2024 | Serial | 011 |
| Patient Name | Mrs. SHAKUNTALA JAISWARA | Contact No | 8013374563 |
| Address | 10/D HARIPARA LANE SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||