Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03020 | Date 01/11/2022 |
| Token No | SM/22-23/3946 01/11/2022 | Serial | 043 |
| Patient Name | Miss JYOTI KUMARI | Contact No | 9038306159 |
| Address | 8/A/7 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 16 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||