Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06015 | Date 06/01/2024 |
| Token No | SM/22-23/17256 06/01/2024 | Serial | 007 |
| Patient Name | Mrs. RINA ROY | Contact No | 7980507164 |
| Address | 41/D PRAVASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||