Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04928 | Date 24/08/2023 |
| Token No | SM/22-23/12254 24/08/2023 | Serial | 009 |
| Patient Name | Mrs. NEHA SINGH | Contact No | 9804681041 |
| Address | 37/M JANNAGAR ROAD SERAMPORE 712202 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||