Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03737 | Date 10/02/2023 |
| Token No | SM/22-23/8652 06/05/2023 | Serial | 023 |
| Patient Name | Mrs. MINA DEVI | Contact No | 8100447428 |
| Address | 66D/831 PRAVASHNAGAR SERAMPOE 712249 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||