Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08067 | Date 21/10/2024 |
| Token No | SM/24-25/29782 21/10/2024 | Serial | 089 |
| Patient Name | Mrs. ANTIMA DEVI | Contact No | 8013376588 |
| Address | 66/A GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||