Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02391 | Date 03/08/2022 |
| Token No | SM/22-23/5070 07/12/2022 | Serial | 022 |
| Patient Name | Mrs. SUMAN MAHATO | Contact No | 9674182091 |
| Address | 97/N/2 PRAVASNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||