Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03002 | Date 31/10/2022 |
| Token No | SM/22-23/3866 31/10/2022 | Serial | 003 |
| Patient Name | Mrs. GURIA DEBI | Contact No | 9153038229 |
| Address | 49/M PRABASHNAGAR SERAMPORE 712249 | Age | 23 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||