Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03319 | Date 05/12/2022 |
| Token No | SM/22-23/4979 05/12/2022 | Serial | 033 |
| Patient Name | Mrs. GOURI SINGH | Contact No | 8013509704 |
| Address | 65/22/8/A D N B SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 52 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||