Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06063 | Date 16/01/2024 |
| Token No | SM/22-23/17507 16/01/2024 | Serial | 029 |
| Patient Name | Mrs. MUKTA SRIVASTAV | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||