Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03743 | Date 13/02/2023 |
| Token No | SM/22-23/10129 04/07/2023 | Serial | 015 |
| Patient Name | Mrs. MINU SINGH | Contact No | 9007866558 |
| Address | 70 NEW MAHESH SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||