Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02162 | Date 06/07/2022 |
| Token No | SM/22-23/1145 06/07/2022 | Serial | 036 |
| Patient Name | Mrs. ANITA RABIDAS | Contact No | 9330288481 |
| Address | 43/18 PRABASHNAGAR SERAMPORE 712249 | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||