Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05051 | Date 04/09/2023 |
| Token No | SM/22-23/12693 04/09/2023 | Serial | 043 |
| Patient Name | Mrs. MINA SHARMA | Contact No | 9903013322 |
| Address | 89 NEW MAHESH SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||