Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03213 | Date 22/11/2022 |
| Token No | SM/22-23/4622 22/11/2022 | Serial | 012 |
| Patient Name | Mrs. RAGNI KUMARI | Contact No | 9748646627 |
| Address | 169 NEW MAHESH SERAMPORE 712203 | Age | 33 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||