Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01054 | Date 24/02/2020 |
| Token No | SM/22-23/6647 08/02/2023 | Serial | 014 |
| Patient Name | Mrs. PUSPA DEY | Contact No | 8017400561 |
| Address | 49/U PRABASHNAGAR SERAMPORE 712249 | Age | 66 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||