Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03883 | Date 04/03/2023 |
| Token No | SM/22-23/12217 23/08/2023 | Serial | 022 |
| Patient Name | Mrs. URMILA SHARMA | Contact No | 8240373242 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||