Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02088 | Date 29/06/2022 |
| Token No | SM/22-23/969 29/06/2022 | Serial | 019 |
| Patient Name | Mrs. MANJU SINGH | Contact No | 9123809227 |
| Address | PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||