Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07578 | Date 05/08/2024 |
| Token No | SM/24-25/25988 05/08/2024 | Serial | 003 |
| Patient Name | Mrs. MIRA KUMARI SHAW | Contact No | 9519160255 |
| Address | 81/B PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||