Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03057 | Date 04/11/2022 |
| Token No | SM/25-26/4224 02/07/2025 | Serial | 004 |
| Patient Name | Mrs. RINKI KUMARI | Contact No | 6299742101 |
| Address | 66/D/21 PRABASHNAGAR SERAMPORE 712249 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||