Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05262 | Date 27/09/2023 |
| Token No | SM/22-23/13605 27/09/2023 | Serial | 012 |
| Patient Name | Mrs. SONI DEVI | Contact No | 7595883103 |
| Address | 65/19/9 CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||