Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03718 | Date 06/02/2023 |
| Token No | SM/22-23/8648 06/05/2023 | Serial | 019 |
| Patient Name | Mrs. GURIYA SINGH | Contact No | 8838819239 |
| Address | 66/1/A/1 GURUGARDEN ROAD SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||