Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06786 | Date 15/05/2024 |
| Token No | SM/24-25/24721 09/07/2024 | Serial | 037 |
| Patient Name | Mrs. PRIYANSHU DEVI | Contact No | 8377077263 |
| Address | 97/U/2 GURU GARDEN ROAD SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||