Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03629 | Date 20/01/2023 |
| Token No | SM/22-23/12459 28/08/2023 | Serial | 061 |
| Patient Name | Mrs. PUJA SHARMA | Contact No | 8777095389 |
| Address | 89 NEW MAHESH SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||