Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02688 | Date 13/09/2022 |
| Token No | SM/22-23/2681 13/09/2022 | Serial | 004 |
| Patient Name | Miss PUNAM PANDEY | Contact No | 9831467620 |
| Address | 159 NEW MAHESH SERAMPORE 712203 | Age | 18 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||