Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02163 | Date 06/07/2022 |
| Token No | SM/22-23/1146 06/07/2022 | Serial | 037 |
| Patient Name | Mrs. KOMAL UPADHYAY | Contact No | 7003465322 |
| Address | SUBASHNAGAR HOUSING COMPLEX PRABASHNAGAR SERAMPORE 712249 | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||