Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01709 | Date 27/05/2022 |
| Token No | SM/22-23/6216 21/01/2023 | Serial | 012 |
| Patient Name | Mrs. CHHOTI TIWARI | Contact No | 9262660309 |
| Address | 97K/1 PRAVASNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||