Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02407 | Date 08/08/2022 |
| Token No | SM/22-23/9833 22/06/2023 | Serial | 034 |
| Patient Name | Mrs. PUJA BERMA | Contact No | 8981239759 |
| Address | 153 NEW MAHESH SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||