Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03635 | Date 24/01/2023 |
| Token No | SM/22-23/6234 24/01/2023 | Serial | 003 |
| Patient Name | Mrs. BABITA DAS | Contact No | 8584965820 |
| Address | 107 PRABASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||