Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01792 | Date 01/06/2022 |
| Token No | SM/22-23/299 01/06/2022 | Serial | 027 |
| Patient Name | Mrs. ANJALI SINGH | Contact No | 9905685706 |
| Address | 8/B/7 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||