Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02299 | Date 25/07/2022 |
| Token No | SM/22-23/3318 10/10/2022 | Serial | 029 |
| Patient Name | Mrs. RANI SINGH | Contact No | 7596820845 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||