Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03990 | Date 27/03/2023 |
| Token No | SM/22-23/7849 27/03/2023 | Serial | 024 |
| Patient Name | Mrs. GITA PASWAN | Contact No | 9836911542 |
| Address | 55 RAYLAND ROAD SERAMPORE 712201 | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||