Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02856 | Date 10/10/2022 |
| Token No | SM/22-23/3293 10/10/2022 | Serial | 004 |
| Patient Name | Mrs. MAMTA DEVI | Contact No | 9088357123 |
| Address | 60/C PRABASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||