Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01955 | Date 17/06/2022 |
| Token No | SM/24-25/26296 08/08/2024 | Serial | 085 |
| Patient Name | Mrs. PINKI DEVI | Contact No | 6290892343 |
| Address | 122 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||