Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01797 | Date 01/06/2022 |
| Token No | SM/22-23/305 01/06/2022 | Serial | 033 |
| Patient Name | Mrs. MALTI DEVI | Contact No | 9674714460 |
| Address | 120 GURU GARDEN ROAD SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||