Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05166 | Date 16/09/2023 |
| Token No | SM/22-23/13208 16/09/2023 | Serial | 058 |
| Patient Name | Mrs. SASHI GUPTA | Contact No | 8335913139 |
| Address | 97/O/3 PRABASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||