Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03521 | Date 28/12/2022 |
| Token No | SM/22-23/7155 01/03/2023 | Serial | 028 |
| Patient Name | Mrs. SWETA KUMARI | Contact No | 7605825675 |
| Address | 165/A/1 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||