Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08052 | Date 19/10/2024 |
| Token No | SM/24-25/29681 19/10/2024 | Serial | 058 |
| Patient Name | Mrs. NEHA SAROJ PATWA | Contact No | 7003836149 |
| Address | 48/9A PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||