Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03175 | Date 17/11/2022 |
| Token No | SM/22-23/4506 17/11/2022 | Serial | 029 |
| Patient Name | Mrs. SOUMI DAS | Contact No | 7980141760 |
| Address | 43/4/B PRABASHNAGAR SERAMPORE 712249 | Age | 15 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||