Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03322 | Date 05/12/2022 |
| Token No | SM/22-23/4990 05/12/2022 | Serial | 044 |
| Patient Name | Mrs. PUJA PATWA | Contact No | 9830432746 |
| Address | 118/3/A PRABASHNAGAR SERAMPORE 712249 | Age | 33 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||