Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06353 | Date 24/02/2024 |
| Token No | SM/22-23/19004 24/02/2024 | Serial | 014 |
| Patient Name | Mrs. ASHA DEVI | Contact No | |
| Address | 65/A/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||