Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07779 | Date 30/08/2024 |
| Token No | SM/24-25/27392 30/08/2024 | Serial | 025 |
| Patient Name | Mrs. SANJU DEVI | Contact No | 8777069457 |
| Address | 835/35 SHRI KRISHNA NAGAR RISHRA M SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||