Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01708 | Date 27/05/2022 |
| Token No | SM/22-23/164 27/05/2022 | Serial | 025 |
| Patient Name | Mrs. MALLIKA RANI | Contact No | 9123094313 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 17 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||