Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02467 | Date 17/08/2022 |
| Token No | SM/22-23/2068 17/08/2022 | Serial | 012 |
| Patient Name | Miss SUNITA VERMA | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||