Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03545 | Date 02/01/2023 |
| Token No | SM/24-25/32532 09/12/2024 | Serial | 074 |
| Patient Name | Mrs. ARTI KUMARI | Contact No | 8777217793 |
| Address | 97/H/5 PROVASNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||