Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05111 | Date 11/09/2023 |
| Token No | SM/22-23/12966 11/09/2023 | Serial | 046 |
| Patient Name | Mrs. PRITI KUMARI | Contact No | 8850210154 |
| Address | 153 NEW MAHESH SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||