Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02540 | Date 24/08/2022 |
| Token No | SM/22-23/2251 24/08/2022 | Serial | 023 |
| Patient Name | Mrs. JHUNI DEBI | Contact No | 9910736862 |
| Address | 97U/2 PRABASHNAGAR SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||