Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03931 | Date 14/03/2023 |
| Token No | SM/22-23/7537 14/03/2023 | Serial | 021 |
| Patient Name | Mrs. JYOTSNA PASWAN | Contact No | |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||