Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07778 | Date 30/08/2024 |
| Token No | SM/24-25/27382 30/08/2024 | Serial | 015 |
| Patient Name | Miss PRIYA KUMARI | Contact No | 6291058895 |
| Address | 55/A/29 M J ROAD SERAMPORE M PRAVASHNAGAR 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||