Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07921 | Date 20/09/2024 |
| Token No | SM/24-25/28492 20/09/2024 | Serial | 042 |
| Patient Name | Mrs. SHEFALI GOPE | Contact No | 6290547091 |
| Address | 49/P/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||