Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07215 | Date 28/06/2024 |
| Token No | SM/24-25/23969 28/06/2024 | Serial | 053 |
| Patient Name | Mrs. JHUMA SAHA | Contact No | 9874728057 |
| Address | 2/237 MAHESH COLONY SERAMPORE 712202 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||