Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01782 | Date 01/06/2022 |
| Token No | SM/22-23/279 01/06/2022 | Serial | 007 |
| Patient Name | Mrs. PRITI SHARMA | Contact No | 9433752814 |
| Address | 43/13/A PRABASHNAGAR SERAMPORE 712249 | Age | 17 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||