Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03637 | Date 24/01/2023 |
| Token No | SM/22-23/6241 24/01/2023 | Serial | 010 |
| Patient Name | Mrs. MANI DEVI | Contact No | 9570539880 |
| Address | 206/A NEW MAHESH SERAMPORE 712203 | Age | 72 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||