Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06089 | Date 22/01/2024 |
| Token No | SM/22-23/17699 22/01/2024 | Serial | 027 |
| Patient Name | Mrs. SASHI RANI MAJUMDER | Contact No | |
| Address | SUKANTA PALLY SERAMPORE 712203 | Age | 80 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||