Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03452 | Date 20/12/2022 |
| Token No | SM/22-23/5460 20/12/2022 | Serial | 006 |
| Patient Name | Mrs. RINKU PASWAN | Contact No | 7450956328 |
| Address | 694 S K NAGAR RISHRA PRAVASHNAGAR SERAMPORE 712249 | Age | 32 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||