Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07469 | Date 18/07/2024 |
| Token No | SM/24-25/25101 18/07/2024 | Serial | 055 |
| Patient Name | Miss ANJALI SARKAR | Contact No | 8479924687 |
| Address | 29/C SERAMPORE M PRAVASHNAGAR 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||