Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04420 | Date 03/07/2023 |
| Token No | SM/22-23/10102 03/07/2023 | Serial | 045 |
| Patient Name | Mrs. MIRA THAKUR | Contact No | 6289019113 |
| Address | 21 NEW MAHESH SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||