Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04829 | Date 14/08/2023 |
| Token No | SM/22-23/11841 14/08/2023 | Serial | 049 |
| Patient Name | Mrs. RANU DEVI | Contact No | 9330758315 |
| Address | PRABASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor,Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||