Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07145 | Date 27/09/2022 |
| Token No | SM/22-23/8934 17/04/2023 | Serial | 028 |
| Patient Name | Mrs. NEHA KUMARI SINGH | Contact No | 8536864270 |
| Address | 14 KAILASH CHATTERJEE LANE | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||