Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05101 | Date 09/09/2023 |
| Token No | SM/22-23/12915 09/09/2023 | Serial | 054 |
| Patient Name | Mrs. ARCHANA SINGH | Contact No | 9123770071 |
| Address | 65/22/1 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||