Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01918 | Date 13/06/2022 |
| Token No | SM/22-23/538 13/06/2022 | Serial | 038 |
| Patient Name | Mrs. KHUSBU PANDEY | Contact No | 8697304602 |
| Address | B-6 FL 305 SUBASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||