Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07003 | Date 14/06/2024 |
| Token No | SM/24-25/23147 14/06/2024 | Serial | 018 |
| Patient Name | Mrs. SIMA GUPTA | Contact No | 8100461566 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||