Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01937 | Date 17/06/2022 |
| Token No | SM/22-23/802 23/06/2022 | Serial | 051 |
| Patient Name | Mrs. SUMAN SINGH | Contact No | 9330617667 |
| Address | 97/K/3 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 28 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||