Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01755 | Date 30/05/2022 |
| Token No | SM/22-23/237 30/05/2022 | Serial | 035 |
| Patient Name | Mrs. KHUSI SINGH | Contact No | 8902971865 |
| Address | B8 408 SUBASHNAGAR SERAMPORE 712249 | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||