Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05045 | Date 04/09/2023 |
| Token No | SM/22-23/13917 04/10/2023 | Serial | 034 |
| Patient Name | Mrs. NEHA SHAW | Contact No | 8100309733 |
| Address | 93 NEW MAHESH SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||