Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02917 | Date 17/10/2022 |
| Token No | SM/24-25/27025 22/08/2024 | Serial | 029 |
| Patient Name | Mrs. NITU KUMARI | Contact No | 9674547579 |
| Address | 43/27/A/2 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||