Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01715 | Date 27/05/2022 |
| Token No | SM/22-23/8121 10/04/2023 | Serial | 055 |
| Patient Name | Mrs. PRITI KUMARI SINGH | Contact No | 8013983658 |
| Address | CHAMBAL GHATI PRABASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||