Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06191 | Date 05/02/2024 |
| Token No | SM/22-23/18221 05/02/2024 | Serial | 078 |
| Patient Name | Mrs. MAMATA BARMAN | Contact No | 7890672094 |
| Address | 65/7 PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||