Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07541 | Date 29/07/2024 |
| Token No | SM/24-25/25713 29/07/2024 | Serial | 051 |
| Patient Name | Mrs. CHANDRA KOSTA | Contact No | 9088070754 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||