Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 08416 | Date 19/12/2024 |
| Token No | SM/24-25/32976 19/12/2024 | Serial | 029 |
| Patient Name | Mrs. PRIYANKA SINGH | Contact No | 7003490976 |
| Address | 74/A R K ROAD SERAMPORE 712248 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||