Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01602 | Date 20/05/2022 |
| Token No | SM/22-23/236 30/05/2022 | Serial | 034 |
| Patient Name | Mrs. RINKI SINGH | Contact No | 8981009831 |
| Address | 8 SIMLA SATGHARA ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||