Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02572 | Date 26/08/2022 |
| Token No | SM/22-23/2744 14/09/2022 | Serial | 036 |
| Patient Name | Mrs. JASO DEVI | Contact No | 9088681253 |
| Address | CHAMBAL GHATI PRABASHNAGAR SERAMPORE 712249 | Age | 48 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||