Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04864 | Date 18/08/2023 |
| Token No | SM/22-23/12006 18/08/2023 | Serial | 038 |
| Patient Name | Mrs. PUJA DEVI | Contact No | 7450041918 |
| Address | 60 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||