Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02165 | Date 06/07/2022 |
| Token No | SM/22-23/1151 06/07/2022 | Serial | 042 |
| Patient Name | Mrs. MAMPI DHARA | Contact No | 8100355288 |
| Address | 97/Y PRABASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||