Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01320 | Date 31/03/2020 |
| Token No | SM/22-23/2835 19/09/2022 | Serial | 021 |
| Patient Name | Mrs. RUPA PASWAN | Contact No | 8777267367 |
| Address | 43/20/F PRABASHNAGAR SERAMPORE 712249 | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||