Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05264 | Date 27/09/2023 |
| Token No | SM/22-23/13611 27/09/2023 | Serial | 018 |
| Patient Name | Mrs. RADHARANI PAUL | Contact No | 7980051915 |
| Address | 65/25/24 MAHESH JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 58 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||