Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06588 | Date 19/04/2024 |
| Token No | SM/24-25/20879 19/04/2024 | Serial | 015 |
| Patient Name | Mrs. JYOTI SHAW | Contact No | 9477933856 |
| Address | 2 NO RABINDRA BHABAN ROAD SERAMPORE 712201 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||