Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05676 | Date 17/11/2023 |
| Token No | SM/22-23/15578 17/11/2023 | Serial | 011 |
| Patient Name | Mrs. DISHA KUMARI | Contact No | 8250133084 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||