Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06894 | Date 30/05/2024 |
| Token No | SM/24-25/22496 30/05/2024 | Serial | 015 |
| Patient Name | Mrs. ASHA SINGHA | Contact No | 8337032947 |
| Address | B1/405 SUBASH NAGAR HOUSING COMPLEX PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||