Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05524 | Date 30/10/2023 |
| Token No | SM/22-23/14830 30/10/2023 | Serial | 051 |
| Patient Name | Mrs. POONAM KUMARI | Contact No | 7671869240 |
| Address | 163 NEW MAHESH SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||