Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01919 | Date 13/06/2022 |
| Token No | SM/22-23/1171 06/07/2022 | Serial | 062 |
| Patient Name | Mrs. SWETA KUMARI | Contact No | 8910204887 |
| Address | B-8 FL-104 SUBASHNAGAR HOUSING PRABASHNAGAR SERAMPORE 712249 | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||