Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07553 | Date 01/08/2024 |
| Token No | SM/24-25/25857 01/08/2024 | Serial | 008 |
| Patient Name | Mrs. MAHUYA SINGH | Contact No | 6290381743 |
| Address | 8/A/2/22 PRAVASNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||