Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02256 | Date 18/07/2022 |
| Token No | SM/22-23/1416 18/07/2022 | Serial | 039 |
| Patient Name | Mrs. PRIYANKA PRASAD | Contact No | 7980015785 |
| Address | 97/Z/6 PRABASHNAGAR SERAMPORE 712249 | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||