Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07522 | Date 25/07/2024 |
| Token No | SM/24-25/25523 25/07/2024 | Serial | 035 |
| Patient Name | Mrs. TAPASI DAS | Contact No | 7076437278 |
| Address | 9/A/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||