Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03373 | Date 10/12/2022 |
| Token No | SM/22-23/10011 30/06/2023 | Serial | 051 |
| Patient Name | Mrs. TARA HARI | Contact No | 9804681048 |
| Address | 37/M JANNAGAR ROAD SERAMPORE M MAHESH 712202 | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||