Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06888 | Date 29/05/2024 |
| Token No | SM/24-25/24726 09/07/2024 | Serial | 042 |
| Patient Name | Mrs. FARIDA KHATOON | Contact No | 9883635352 |
| Address | 87 NEW MAHESH SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||