Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04808 | Date 12/08/2023 |
| Token No | SM/22-23/11762 12/08/2023 | Serial | 013 |
| Patient Name | Mrs. SUNITA SHARMA | Contact No | 8100825118 |
| Address | 180 NEW MAHESH SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||