Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06920 | Date 03/06/2024 |
| Token No | SM/24-25/22654 03/06/2024 | Serial | 030 |
| Patient Name | Mrs. MINA DEVI MAHATO | Contact No | 6289249978 |
| Address | 107 NEW MAHESH SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||