Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07530 | Date 26/07/2024 |
| Token No | SM/24-25/25947 02/08/2024 | Serial | 040 |
| Patient Name | Mrs. NISHA KUMARI | Contact No | 8777484892 |
| Address | 43/A/1 PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||