Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 02843 | Date 30/09/2022 |
| Token No | SM/22-23/3242 30/09/2022 | Serial | 059 |
| Patient Name | Mrs. PRATIMA DEVI | Contact No | 9163339349 |
| Address | 11 RAI LAND ROAD SERAMPORE 712248 | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||