Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02161 | Date 06/07/2022 |
| Token No | SM/22-23/3926 01/11/2022 | Serial | 023 |
| Patient Name | Mrs. RUMA DEY | Contact No | 6290041624 |
| Address | 43/12/A/2 PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||