Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02852 | Date 08/10/2022 |
| Token No | SM/22-23/4502 17/11/2022 | Serial | 025 |
| Patient Name | Mrs. ANJALI PASWAN | Contact No | 7059342705 |
| Address | 122/B PRABASHNAGAR SERAMPORE 712249 | Age | 18 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||