Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04965 | Date 26/08/2023 |
| Token No | SM/24-25/25625 27/07/2024 | Serial | 027 |
| Patient Name | Mrs. SUSHAMA BAJAL | Contact No | 9903259733 |
| Address | 217 NEW MAHESH SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||