Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03270 | Date 28/11/2022 |
| Token No | SM/22-23/4878 30/11/2022 | Serial | 013 |
| Patient Name | Mrs. PINKI PANDIT | Contact No | 8229926935 |
| Address | 60 PRABASHNAGAR SERAMPORE 712249 | Age | 37 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||