Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03200 | Date 19/11/2022 |
| Token No | SM/22-23/4578 19/11/2022 | Serial | 023 |
| Patient Name | Mrs. MANJU SINGH | Contact No | 9830432746 |
| Address | 3/A PRABASHNAGAR SERAMPORE 712249 | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||