Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05039 | Date 02/09/2023 |
| Token No | SM/22-23/12626 02/09/2023 | Serial | 009 |
| Patient Name | Mrs. ASHA VERMA MAHATO | Contact No | 7003314259 |
| Address | 80 NEW MAHESH SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||