Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02903 | Date 15/10/2022 |
| Token No | SM/22-23/4504 17/11/2022 | Serial | 027 |
| Patient Name | Mrs. BINA DEBI | Contact No | 9163481546 |
| Address | 122 PRABASHNAGAR SERAMPORE 712249 | Age | 18 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||