Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00126 | Date 13/09/2019 |
| Token No | SM/22-23/19271 01/03/2024 | Serial | 032 |
| Patient Name | Mrs. PUTUL MAJHI | Contact No | 8583026709 |
| Address | 195 NEW MAHESH SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||