Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05398 | Date 10/10/2023 |
| Token No | SM/22-23/14224 10/10/2023 | Serial | 058 |
| Patient Name | Mrs. MUNDI BHUIYA | Contact No | 9038544721 |
| Address | 36 NEW MAHESH SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||