Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01877 | Date 10/06/2022 |
| Token No | SM/22-23/462 10/06/2022 | Serial | 022 |
| Patient Name | Mrs. INDU DEBI GUPTA | Contact No | |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 65 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||