Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 02334 | Date 28/07/2022 |
| Token No | SM/22-23/1736 01/08/2022 | Serial | 016 |
| Patient Name | Mrs. SUMITA DUBEY | Contact No | 8910426977 |
| Address | 70/1 J N LAHIRI ROAD SERAMPORE 712201 | Age | 37 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||