Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02861 | Date 10/10/2022 |
| Token No | SM/22-23/3329 10/10/2022 | Serial | 040 |
| Patient Name | Mrs. RANJITA SHA | Contact No | 8240138725 |
| Address | B-8 F-403 SUBASHNAGAR HOUSING SERAMPORE 712249 | Age | 29 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||