Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02958 | Date 21/10/2022 |
| Token No | SM/22-23/3686 21/10/2022 | Serial | 018 |
| Patient Name | Mrs. PUTUL HELA | Contact No | 9748124417 |
| Address | 97/H/8 PRABASHNAGAR SERAMPORE 712203 | Age | 25 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||