Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03069 | Date 07/11/2022 |
| Token No | SM/22-23/4116 07/11/2022 | Serial | 015 |
| Patient Name | Mrs. KANCHAN DEVI | Contact No | |
| Address | 101 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||