Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08139 | Date 01/11/2024 |
| Token No | SM/24-25/31183 15/11/2024 | Serial | 026 |
| Patient Name | Mrs. POOJA DEVI | Contact No | 9903125623 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||