Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07349 | Date 03/07/2024 |
| Token No | SM/25-26/12 01/04/2025 | Serial | 012 |
| Patient Name | Mrs. TULSI RAJBHAR | Contact No | 9933032599 |
| Address | PURBAPARA PRAVASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 96 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||