Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03423 | Date 17/12/2022 |
| Token No | SM/22-23/5370 17/12/2022 | Serial | 003 |
| Patient Name | Mrs. ABHA SINGH | Contact No | 8017846558 |
| Address | 65/14/1/C PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||