Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04060 | Date 17/04/2023 |
| Token No | SM/22-23/11212 01/08/2023 | Serial | 053 |
| Patient Name | Mrs. NEETU KOTHARI | Contact No | 9062377013 |
| Address | 56 NO G T ROAD W SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||