Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07032 | Date 18/06/2024 |
| Token No | SM/24-25/23279 18/06/2024 | Serial | 038 |
| Patient Name | Mrs. BANI DAS | Contact No | |
| Address | SOCIETY MATH SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||