Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08329 | Date 02/12/2024 |
| Token No | SM/24-25/32088 02/12/2024 | Serial | 006 |
| Patient Name | Mrs. BEAUTY DEVI | Contact No | 7044121512 |
| Address | 1/B/26 PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||