Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02462 | Date 16/08/2022 |
| Token No | SM/22-23/2052 16/08/2022 | Serial | 020 |
| Patient Name | Mrs. KALAWATI DEVI | Contact No | 9903125823 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||