Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02713 | Date 16/09/2022 |
| Token No | SM/22-23/2804 16/09/2022 | Serial | 023 |
| Patient Name | Mrs. SONA DEVI PRAJAPATI | Contact No | 9163493995 |
| Address | PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||