Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07597 | Date 06/08/2024 |
| Token No | SM/24-25/26122 06/08/2024 | Serial | 052 |
| Patient Name | Mrs. BADANA DAS | Contact No | 7044244799 |
| Address | 24/A GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||