Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07483 | Date 19/07/2024 |
| Token No | SM/24-25/32262 04/12/2024 | Serial | 059 |
| Patient Name | Miss PINKI KUMARI SHAW | Contact No | 9073554175 |
| Address | 66/D/16 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||