Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04345 | Date 16/06/2023 |
| Token No | SM/22-23/9667 16/06/2023 | Serial | 034 |
| Patient Name | Mrs. JHUMA DHUPI | Contact No | 7439028976 |
| Address | 56 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||