Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01788 | Date 01/06/2022 |
| Token No | SM/22-23/4361 12/11/2022 | Serial | 017 |
| Patient Name | Mrs. KUSUM KUMARI | Contact No | 6291871767 |
| Address | 97/Z/3 PRABASHNAGAR SERAMPORE 712249 | Age | 12 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||