Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02486 | Date 18/08/2022 |
| Token No | SM/22-23/2115 18/08/2022 | Serial | 006 |
| Patient Name | Mrs. ANITA RABIDAS | Contact No | 9330397679 |
| Address | 66/B/1/A PRABASHNAGAR SERAMPORE 712249 | Age | 36 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||