Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06150 | Date 02/02/2024 |
| Token No | SM/22-23/18327 08/02/2024 | Serial | 022 |
| Patient Name | Mrs. SONU DEVI | Contact No | 9007615036 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||