Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01813 | Date 03/06/2022 |
| Token No | SM/22-23/334 03/06/2022 | Serial | 003 |
| Patient Name | Mrs. PUJA RAJBHAR | Contact No | 9062610145 |
| Address | 183 NEW MAHESH SERAMPORE 712203 | Age | 11 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||