Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02286 | Date 20/07/2022 |
| Token No | SM/22-23/12002 18/08/2023 | Serial | 034 |
| Patient Name | Mrs. RINKU DEVI | Contact No | 9163514126 |
| Address | 65/A/8 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||