Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04888 | Date 21/08/2023 |
| Token No | SM/24-25/30496 02/11/2024 | Serial | 015 |
| Patient Name | Mrs. SUNITA MAJHI | Contact No | 6289225272 |
| Address | 172 NEW MAHESH SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||