Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04296 | Date 10/06/2023 |
| Token No | SM/22-23/9433 10/06/2023 | Serial | 002 |
| Patient Name | Mrs. BANTI RANI SHIL | Contact No | 9168781969 |
| Address | 65/7/4/A PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||