Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02699 | Date 14/09/2022 |
| Token No | SM/22-23/2741 14/09/2022 | Serial | 033 |
| Patient Name | Mrs. RAMPARI SHAH | Contact No | 9681168624 |
| Address | 151 NEW MAHESH SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||