Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02573 | Date 26/08/2022 |
| Token No | SM/22-23/2337 26/08/2022 | Serial | 032 |
| Patient Name | Mrs. RITI KUMARI SINGH | Contact No | 8013983658 |
| Address | CHAMBAL GHATI PRABASHNAGAR SERAMPORE 712249 | Age | 15 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||