Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04923 | Date 23/08/2023 |
| Token No | SM/22-23/12227 23/08/2023 | Serial | 032 |
| Patient Name | Miss PRITI KUMARI | Contact No | 8585021054 |
| Address | 253 NEW MAHESH SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||