Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07863 | Date 06/09/2024 |
| Token No | SM/24-25/27831 06/09/2024 | Serial | 039 |
| Patient Name | Mrs. DIPALI ADHIKARI | Contact No | 9836064025 |
| Address | 43/46/C PRABASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||