Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04110 | Date 27/04/2023 |
| Token No | SM/22-23/8464 27/04/2023 | Serial | 037 |
| Patient Name | Mrs. PRIYA BAIRAGI | Contact No | 7595883492 |
| Address | 33 SANIPARA BYE LANE SERAMPORE 712203 | Age | 24 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||