Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04042 | Date 11/04/2023 |
| Token No | SM/22-23/8156 11/04/2023 | Serial | 035 |
| Patient Name | Mrs. MIRA DEVI SHAW | Contact No | 8442995225 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||