Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07721 | Date 21/08/2024 |
| Token No | SM/25-26/1351 29/04/2025 | Serial | 030 |
| Patient Name | Mrs. ASHA GUPTA | Contact No | 8420288829 |
| Address | 43/46/F/1/A PRAVASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||