Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03447 | Date 19/12/2022 |
| Token No | SM/22-23/5980 07/01/2023 | Serial | 023 |
| Patient Name | Mrs. PARNA CHOUDHURY | Contact No | 8420438299 |
| Address | 43/18/2 PROVASNAGAR SERAMPORE 712249 | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||