Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06222 | Date 09/02/2024 |
| Token No | SM/22-23/18384 09/02/2024 | Serial | 015 |
| Patient Name | Mrs. SUNAWATI DEVI | Contact No | 9709444937 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 76 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||