Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04293 | Date 09/06/2023 |
| Token No | SM/22-23/9420 09/06/2023 | Serial | 024 |
| Patient Name | Mrs. LAXMI DEVI | Contact No | 8335072929 |
| Address | 26 BOSE PARA LANE SERAMPORE 712202 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||