Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03093 | Date 09/11/2022 |
| Token No | SM/22-23/4202 09/11/2022 | Serial | 037 |
| Patient Name | Mrs. JUI PASWAN | Contact No | 8910341633 |
| Address | 3 D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||