Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07526 | Date 26/07/2024 |
| Token No | SM/24-25/25662 27/07/2024 | Serial | 064 |
| Patient Name | Mrs. ARATI | Contact No | 7052962168 |
| Address | 245 A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||