Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03095 | Date 09/11/2022 |
| Token No | SM/22-23/4206 09/11/2022 | Serial | 041 |
| Patient Name | Mrs. AAMIRTY DEVI | Contact No | |
| Address | 9/433 GURU GARDEN ROAD SERAMPORE PRABASHNAGAR712249 | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||