Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00076 | Date 11/09/2019 |
| Token No | SM/22-23/6129 16/01/2023 | Serial | 020 |
| Patient Name | Mrs. SUSHILA DEBI GUPTA | Contact No | 6289038656 |
| Address | 122 PRABASHNAGAR,SERAMPORE 712249 | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||