Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02965 | Date 21/10/2022 |
| Token No | SM/22-23/3700 21/10/2022 | Serial | 032 |
| Patient Name | Miss JYOTI SINGH | Contact No | 9038306159 |
| Address | B/8/7 PRABASHNAGAR SERAMPORE 712249 | Age | 16 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||