Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01912 | Date 13/06/2022 |
| Token No | SM/22-23/9196 30/05/2023 | Serial | 015 |
| Patient Name | Mrs. RENU JOSHI | Contact No | 6290984184 |
| Address | 87 NEW MAHESH SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||