Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06042 | Date 09/01/2024 |
| Token No | SM/24-25/32908 18/12/2024 | Serial | 009 |
| Patient Name | Mrs. PRITI SINGH | Contact No | 8902303022 |
| Address | A-8 FL-207 SUBASHNAGAR HOUSING COMPLEX PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||