Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02442 | Date 12/08/2022 |
| Token No | SM/22-23/2501 05/09/2022 | Serial | 050 |
| Patient Name | Mrs. MIRA GUHA | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||