Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03549 | Date 02/01/2023 |
| Token No | SM/22-23/5846 02/01/2023 | Serial | 027 |
| Patient Name | Mrs. GITA PATWA | Contact No | 7890088540 |
| Address | 66/B/4 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||