Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04553 | Date 20/07/2023 |
| Token No | SM/22-23/10728 20/07/2023 | Serial | 019 |
| Patient Name | Miss PAYAL GIRI | Contact No | 8981252245 |
| Address | 165 NEW MAHESH SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||