Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 04004 | Date 01/04/2023 |
| Token No | SM/22-23/7948 01/04/2023 | Serial | 003 |
| Patient Name | Miss SHRUTI SINGH | Contact No | 9836524104 |
| Address | 33 AUDDY LANE SERAMPORE M SERAMPORE 712201 | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||