Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01890 | Date 10/06/2022 |
| Token No | SM/22-23/3494 15/10/2022 | Serial | 028 |
| Patient Name | Mrs. NEHA SINGH | Contact No | 9073547974 |
| Address | 49/0/3/1 PRABASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||