Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00254 | Date 25/09/2019 |
| Token No | SM/24-25/28012 10/09/2024 | Serial | 028 |
| Patient Name | Mrs. JYOTI VARMA | Contact No | 8481020098 |
| Address | 153 NEW MAHESH SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||