Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03784 | Date 16/02/2023 |
| Token No | SM/22-23/10374 10/07/2023 | Serial | 044 |
| Patient Name | Mrs. MINA DEVI | Contact No | 7044017187 |
| Address | 45/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||