Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02257 | Date 18/07/2022 |
| Token No | SM/22-23/1417 18/07/2022 | Serial | 040 |
| Patient Name | Mrs. RENUKA DEVI | Contact No | 7044017181 |
| Address | 45/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||