Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01823 | Date 03/06/2022 |
| Token No | SM/22-23/361 03/06/2022 | Serial | 030 |
| Patient Name | Mrs. PRIYANKA KUMARI | Contact No | 8274884514 |
| Address | 43/46/D DINEN BATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 24 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||