Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02447 | Date 12/08/2022 |
| Token No | SM/22-23/2004 12/08/2022 | Serial | 026 |
| Patient Name | Mrs. MOUSUMI MALAKAR | Contact No | 8697364267 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 42 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||