Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02049 | Date 24/06/2022 |
| Token No | SM/22-23/846 24/06/2022 | Serial | 029 |
| Patient Name | Mrs. RATNA DEBI | Contact No | |
| Address | PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 35 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||