Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01849 | Date 08/06/2022 |
| Token No | SM/22-23/421 08/06/2022 | Serial | 035 |
| Patient Name | Mrs. PRATIMA GUPTA | Contact No | 9883089015 |
| Address | 65/25/53 M J ROAD CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 35 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||