Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02824 | Date 29/09/2022 |
| Token No | SM/22-23/3176 29/09/2022 | Serial | 040 |
| Patient Name | Mrs. PAYEL HALDER | Contact No | 8240763369 |
| Address | 43/46/B PRABASHNAGAR SERAMPORE 712249 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||