Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08203 | Date 14/11/2024 |
| Token No | SM/24-25/31100 14/11/2024 | Serial | 012 |
| Patient Name | Miss ACHCAL PRASAD | Contact No | 7449804434 |
| Address | 107/E GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||