Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06632 | Date 25/04/2024 |
| Token No | SM/24-25/21167 25/04/2024 | Serial | 042 |
| Patient Name | Mrs. PRIYANKA DAS | Contact No | 9674261464 |
| Address | 65/19/10 PRAVASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||