Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02761 | Date 23/09/2022 |
| Token No | SM/22-23/3988 03/11/2022 | Serial | 002 |
| Patient Name | Mrs. SUCHITRA DEVI | Contact No | 6291242362 |
| Address | 75 GURU GARDEN ROAD SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||