Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05097 | Date 09/09/2023 |
| Token No | SM/22-23/12878 09/09/2023 | Serial | 017 |
| Patient Name | Mrs. POOJA DEVI | Contact No | 9163177892 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||