Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03654 | Date 25/01/2023 |
| Token No | SM/24-25/27718 05/09/2024 | Serial | 002 |
| Patient Name | Mrs. RAKHI SHAW | Contact No | 7450032547 |
| Address | 97/P/16 PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||