Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06698 | Date 03/05/2024 |
| Token No | SM/24-25/21487 03/05/2024 | Serial | 082 |
| Patient Name | Mrs. MOUMITA MONDAL | Contact No | 8777677743 |
| Address | 65/25/10C M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||