Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07154 | Date 27/09/2022 |
| Token No | SM/24-25/19253 07/10/2024 | Serial | 040 |
| Patient Name | Mrs. SHIPRA DEY | Contact No | 9748274536 |
| Address | 259/113 NATUN GRAM RATHIN PAL SARANI, RISHRA | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||