Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07528 | Date 26/07/2024 |
| Token No | SM/24-25/25571 26/07/2024 | Serial | 012 |
| Patient Name | Mrs. MIRA KUMARI SINGH | Contact No | 9051507256 |
| Address | 165/A/A MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||