Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06076 | Date 18/01/2024 |
| Token No | SM/22-23/17584 18/01/2024 | Serial | 020 |
| Patient Name | Mrs. SANJANA DEVI | Contact No | 7480929283 |
| Address | 65/19/13 PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||