Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07507 | Date 23/07/2024 |
| Token No | SM/24-25/32001 29/11/2024 | Serial | 015 |
| Patient Name | Mrs. RUBI SINGH | Contact No | 7890738397 |
| Address | CHAKLAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||