Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01230 | Date 18/03/2020 |
| Token No | SM/22-23/5065 07/12/2022 | Serial | 017 |
| Patient Name | Mrs. ARTI SINGH | Contact No | 9674812164 |
| Address | 97/C PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||