Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07520 | Date 24/07/2024 |
| Token No | SM/24-25/25480 24/07/2024 | Serial | 067 |
| Patient Name | Mrs. RENU GIRI | Contact No | 8981373022 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||