Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02087 | Date 29/06/2022 |
| Token No | SM/22-23/960 29/06/2022 | Serial | 010 |
| Patient Name | Mrs. CHANDRA DEBI | Contact No | 7493960522 |
| Address | 87/1/R PRABASHNAGAR SERAMPORE 712249 | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||