Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02706 | Date 15/09/2022 |
| Token No | SM/22-23/2805 16/09/2022 | Serial | 024 |
| Patient Name | Mrs. KHUSHBOO THAKUR | Contact No | 7003406085 |
| Address | 82/B PRAVASNAGAR SERAMPORE 712249 | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||