Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02953 | Date 20/10/2022 |
| Token No | SM/22-23/3663 20/10/2022 | Serial | 029 |
| Patient Name | Mrs. GUCHIYA DEVI | Contact No | 8584965820 |
| Address | PRABASHNAGAR NAYA BASTI SERAMPORE 712249 | Age | 51 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||