Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04314 | Date 12/06/2023 |
| Token No | SM/22-23/9510 12/06/2023 | Serial | 029 |
| Patient Name | Mrs. SITA SHAH | Contact No | 9874915156 |
| Address | 62 NEW MAHESH SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||