Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01619 | Date 23/05/2022 |
| Token No | SM/22-23/2257 24/08/2022 | Serial | 029 |
| Patient Name | Mrs. F00L KUMARI | Contact No | 7595054131 |
| Address | 9/433 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 57 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||