Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01925 | Date 15/06/2022 |
| Token No | SM/22-23/566 15/06/2022 | Serial | 009 |
| Patient Name | Mrs. LAKSHMI SINGH | Contact No | 7439359756 |
| Address | 107/5 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 34 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||