Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08437 | Date 23/12/2024 |
| Token No | SM/24-25/33102 23/12/2024 | Serial | 004 |
| Patient Name | Mrs. PRIYA KUMARI | Contact No | 7044494562 |
| Address | 97/Q PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||