Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08357 | Date 05/12/2024 |
| Token No | SM/24-25/32330 05/12/2024 | Serial | 061 |
| Patient Name | Mrs. MADHU SHAW | Contact No | 7596941006 |
| Address | 66/D/32 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||