Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03554 | Date 03/01/2023 |
| Token No | SM/22-23/5868 03/01/2023 | Serial | 001 |
| Patient Name | Mrs. ANISHA SRIVASTAB | Contact No | 8340621922 |
| Address | 81/A PRABASHNAGAR SERAMPORE 712249 | Age | 23 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||