Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03112 | Date 10/11/2022 |
| Token No | SM/22-23/4277 10/11/2022 | Serial | 050 |
| Patient Name | Mrs. PRATIMA DEVI | Contact No | 8910816626 |
| Address | 100/B PRABASHNAGAR SERAMPORE 712249 | Age | 56 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||