Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02781 | Date 24/09/2022 |
| Token No | SM/22-23/3027 24/09/2022 | Serial | 036 |
| Patient Name | Mrs. BUNNA DEVI | Contact No | 9231656494 |
| Address | 81/B PRABASHNAGAR SERAMPORE 712249 | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||