Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01818 | Date 03/06/2022 |
| Token No | SM/22-23/345 03/06/2022 | Serial | 014 |
| Patient Name | Mrs. MINA MAHATO | Contact No | |
| Address | N122 PRABASHNAGARA SERAMPORE 712249 | Age | 23 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||