Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02578 | Date 26/08/2022 |
| Token No | SM/24-25/28759 26/09/2024 | Serial | 014 |
| Patient Name | Mrs. MANISHA DEVI | Contact No | 7449685870 |
| Address | 97/Z PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||