Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06994 | Date 13/06/2024 |
| Token No | SM/24-25/23191 15/06/2024 | Serial | 025 |
| Patient Name | Mrs. BABITA SHAW | Contact No | 9681184629 |
| Address | 151 NEW MAHESH SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||