Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03177 | Date 18/11/2022 |
| Token No | SM/22-23/4737 25/11/2022 | Serial | 024 |
| Patient Name | Mrs. SHILA RAM | Contact No | 9123900872 |
| Address | 97/S PRABASHNAGAR SERAMPORE M 712249 | Age | 42 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||