Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03630 | Date 20/01/2023 |
| Token No | SM/22-23/6199 20/01/2023 | Serial | 022 |
| Patient Name | Mrs. MINA SHARMA | Contact No | |
| Address | 89 NEW MAHESH SERAMPORE 712203 | Age | 58 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||