Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08230 | Date 19/11/2024 |
| Token No | SM/24-25/31415 19/11/2024 | Serial | 057 |
| Patient Name | Mrs. MEENA DEVI VALMIKI | Contact No | 9681166530 |
| Address | 304 BL-B6 SUBASHNAGAR HOUSING PRAVASHNAGAR SERAMPORE 712249 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||