Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01847 | Date 08/06/2022 |
| Token No | SM/22-23/2311 26/08/2022 | Serial | 006 |
| Patient Name | Mrs. KAMALA PAL | Contact No | 7044134907 |
| Address | 107/B/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 77 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||