Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03756 | Date 15/02/2023 |
| Token No | SM/22-23/8669 06/05/2023 | Serial | 040 |
| Patient Name | Mrs. MAMTA KUMARI SHAW | Contact No | 8777754705 |
| Address | 248 B.B GHOSHROAD NEW MAHESH 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||