Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04169 | Date 12/05/2023 |
| Token No | SM/22-23/8775 12/05/2023 | Serial | 022 |
| Patient Name | Mrs. KOSHILA KUMHAR | Contact No | 9007455457 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 67 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||