Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02715 | Date 16/09/2022 |
| Token No | SM/22-23/2812 16/09/2022 | Serial | 031 |
| Patient Name | Mrs. JAMUNA YADAV | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||