Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02336 | Date 28/07/2022 |
| Token No | SM/22-23/1663 28/07/2022 | Serial | 015 |
| Patient Name | Mrs. KAMALADEVI THAKUR | Contact No | 9934627658 |
| Address | 97/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 62 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||