Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07937 | Date 23/09/2024 |
| Token No | SM/24-25/28623 23/09/2024 | Serial | 030 |
| Patient Name | Mrs. JYOTI SINGH | Contact No | 7003610596 |
| Address | A8 108 SUBHASNAGAR HOUSING COMPLEX PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||