Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06891 | Date 29/05/2024 |
| Token No | SM/24-25/22481 29/05/2024 | Serial | 064 |
| Patient Name | Mrs. MANI GUPTA | Contact No | 6289038656 |
| Address | 122 PRABASHNAGAR,SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||