Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07372 | Date 05/07/2024 |
| Token No | SM/24-25/24500 05/07/2024 | Serial | 050 |
| Patient Name | Mrs. HEMLATA NAYEK | Contact No | 8961635475 |
| Address | 24 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||