Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02023 | Date 23/06/2022 |
| Token No | SM/22-23/794 23/06/2022 | Serial | 043 |
| Patient Name | Mrs. PINKI DEVI PRASAD | Contact No | 8910428203 |
| Address | 97/P/10 PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||