Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02171 | Date 06/07/2022 |
| Token No | SM/22-23/1167 06/07/2022 | Serial | 058 |
| Patient Name | Mrs. PRITI SHARMA | Contact No | 8420012384 |
| Address | 97/Y/3 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||