Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06875 | Date 28/05/2024 |
| Token No | SM/24-25/22411 28/05/2024 | Serial | 041 |
| Patient Name | Mrs. JYOTSNA DEY | Contact No | 9674251418 |
| Address | 147 NEW MAHESH SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||