Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06102 | Date 27/01/2024 |
| Token No | SM/22-23/17796 27/01/2024 | Serial | 009 |
| Patient Name | Mrs. SANGITA SHAW | Contact No | 8420224994 |
| Address | 186 NEW MAHESH SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||