Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04564 | Date 22/07/2023 |
| Token No | SM/24-25/30777 09/11/2024 | Serial | 005 |
| Patient Name | Mrs. ANJALI PASWAN | Contact No | 8229926967 |
| Address | 97/W PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||