Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07402 | Date 09/07/2024 |
| Token No | SM/24-25/25320 22/07/2024 | Serial | 026 |
| Patient Name | Mrs. SUJATA SINGH | Contact No | 6290640752 |
| Address | B 3/204 SUBASH NAGAR HOUSING PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||