Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05126 | Date 12/09/2023 |
| Token No | SM/22-23/13036 12/09/2023 | Serial | 060 |
| Patient Name | Mrs. MANGARI DEVI | Contact No | 7890676701 |
| Address | 95 NEW MAHESH SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||