Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02935 | Date 19/10/2022 |
| Token No | SM/22-23/3691 21/10/2022 | Serial | 023 |
| Patient Name | Mrs. LIPIKA GUHA | Contact No | 8777485200 |
| Address | 43/46/J PRABASHNAGAR SERAMPORE 712249 | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||