Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02429 | Date 10/08/2022 |
| Token No | SM/22-23/1938 10/08/2022 | Serial | 036 |
| Patient Name | Miss PRIYANKA KUMARI | Contact No | 6289322513 |
| Address | 97/I/1 PRABASHNAGAR SERAMPORE 712249 | Age | 24 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||