Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02386 | Date 03/08/2022 |
| Token No | SM/22-23/1820 03/08/2022 | Serial | 013 |
| Patient Name | Mrs. SANJU DEBI SHAW | Contact No | 9748194876 |
| Address | PRABASHNAGAR HINDI SCHOOL SERAMPORE 712249 | Age | 35 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||