Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01794 | Date 01/06/2022 |
| Token No | SM/22-23/301 01/06/2022 | Serial | 029 |
| Patient Name | Mrs. KAJAL GIRI | Contact No | 6289903326 |
| Address | 62/A PRABASHNAGAR SERAMPORE 712249 | Age | 18 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||