Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01902 | Date 13/06/2022 |
| Token No | SM/22-23/4585 19/11/2022 | Serial | 030 |
| Patient Name | Mrs. PUJA SINGH | Contact No | 9748683284 |
| Address | 66/B/1 G G ROAD PRABASHNAGAR SERAMPORE | Age | 29 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||