Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02565 | Date 26/08/2022 |
| Token No | SM/22-23/2321 26/08/2022 | Serial | 016 |
| Patient Name | Mrs. PRABHATI SINGH | Contact No | 6289322513 |
| Address | 97/U PRABASHNAGAR SERAMPORE 712249 | Age | 55 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||