Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04424 | Date 04/07/2023 |
| Token No | SM/24-25/24175 01/07/2024 | Serial | 084 |
| Patient Name | Miss KAJAL KUMARI | Contact No | 9903335299 |
| Address | 43/D PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||