Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02152 | Date 06/07/2022 |
| Token No | SM/22-23/1123 06/07/2022 | Serial | 014 |
| Patient Name | Mrs. ANJU KUMARI | Contact No | 7980976327 |
| Address | A-7 206 SUBASHNAGAR HOUSING SERAMPORE 712249 | Age | 25 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||