Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03446 | Date 19/12/2022 |
| Token No | SM/22-23/6883 16/02/2023 | Serial | 059 |
| Patient Name | Mrs. REEMA PRASAD | Contact No | 7003803258 |
| Address | 94/1/1 GURUGARDEN LANE SERAMPORE 712249 | Age | 24 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||