Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07064 | Date 20/06/2024 |
| Token No | SM/24-25/23447 20/06/2024 | Serial | 075 |
| Patient Name | Mrs. TULU BISWAS | Contact No | 7439540458 |
| Address | 65/19/14 PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||