Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02485 | Date 18/08/2022 |
| Token No | SM/22-23/2114 18/08/2022 | Serial | 005 |
| Patient Name | Mrs. RADHA PRASAD | Contact No | |
| Address | SARADA PALLY SERAMPORE 712203 | Age | 28 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||