Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02096 | Date 29/06/2022 |
| Token No | SM/22-23/983 29/06/2022 | Serial | 033 |
| Patient Name | Mrs. SONALI ROY | Contact No | 6291138093 |
| Address | 55 RAI LAND ROAD SERAMPORE 712201 | Age | 18 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||