Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07056 | Date 20/06/2024 |
| Token No | SM/24-25/23412 20/06/2024 | Serial | 040 |
| Patient Name | Mrs. KHUSHBU SHAW | Contact No | 8100389927 |
| Address | 107/A/2 GURU GARDEN ROAD SERAMPORE M PRAVASHNAGAR 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||