Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08178 | Date 09/11/2024 |
| Token No | SM/24-25/30834 09/11/2024 | Serial | 062 |
| Patient Name | Mrs. RUPA KUMARI SINGH | Contact No | 7439975104 |
| Address | 65/7/6 PRABASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||