Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01802 | Date 01/06/2022 |
| Token No | SM/22-23/3174 29/09/2022 | Serial | 038 |
| Patient Name | Mrs. SARITA KUMARI | Contact No | 7980776563 |
| Address | 87/1/R PRABASHNAGAR SERAMPORE 712249 | Age | 19 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||