Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03557 | Date 03/01/2023 |
| Token No | SM/22-23/5886 03/01/2023 | Serial | 019 |
| Patient Name | Mrs. KAVITA SHAW | Contact No | 9007224015 |
| Address | 49/N/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||