Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07509 | Date 23/07/2024 |
| Token No | SM/24-25/25398 23/07/2024 | Serial | 033 |
| Patient Name | Mrs. MINI ROUTH | Contact No | 9038218005 |
| Address | 60/B 1 NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||