Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02966 | Date 21/10/2022 |
| Token No | SM/22-23/3701 21/10/2022 | Serial | 033 |
| Patient Name | Mrs. JULI SINGH | Contact No | 9038306159 |
| Address | B/8/7 PRABASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||