Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06772 | Date 13/05/2024 |
| Token No | SM/24-25/21876 13/05/2024 | Serial | 038 |
| Patient Name | Mrs. RAJ KUMARI DEVI | Contact No | 6289485607 |
| Address | 6 RAILAND ROAD MAHESH SERAMPORE M 712202 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||