Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01920 | Date 13/06/2022 |
| Token No | SM/22-23/547 13/06/2022 | Serial | 047 |
| Patient Name | Mrs. SARASWATY SHARMA | Contact No | 8100825118 |
| Address | 180 NEW MAHESH SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||