Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07835 | Date 05/09/2024 |
| Token No | SM/24-25/27723 05/09/2024 | Serial | 007 |
| Patient Name | Mrs. MINA PATWA | Contact No | 7890856534 |
| Address | 66/B/6 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||