Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02231 | Date 15/07/2022 |
| Token No | SM/22-23/1343 15/07/2022 | Serial | 013 |
| Patient Name | Mrs. SAJAN NAYAK | Contact No | 8777012409 |
| Address | 97/F/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||