Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06412 | Date 12/03/2024 |
| Token No | SM/22-23/19728 12/03/2024 | Serial | 028 |
| Patient Name | Mrs. SHUKLA NANDI | Contact No | 7595859426 |
| Address | 65/20/5/1 MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||