Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02142 | Date 04/07/2022 |
| Token No | SM/22-23/1080 04/07/2022 | Serial | 047 |
| Patient Name | Mrs. ASHA RAJBHAR | Contact No | 7890861762 |
| Address | PRABASHNAGAR HINDI SCHOOL SERAMPORE 712249 | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||