Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05342 | Date 05/10/2023 |
| Token No | SM/22-23/13977 05/10/2023 | Serial | 040 |
| Patient Name | Mrs. MADHU DEVI | Contact No | 7890491336 |
| Address | 165/A NEW MAHESH SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||