Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07674 | Date 14/08/2024 |
| Token No | SM/24-25/26839 20/08/2024 | Serial | 007 |
| Patient Name | Mrs. RINKU DEVI | Contact No | 9007642863 |
| Address | 122 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||