Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02954 | Date 21/10/2022 |
| Token No | SM/22-23/3674 21/10/2022 | Serial | 006 |
| Patient Name | Mrs. TARA DEVI | Contact No | 9310343940 |
| Address | 97/Z/4 PRABASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||