Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07600 | Date 07/08/2024 |
| Token No | SM/24-25/26153 07/08/2024 | Serial | 028 |
| Patient Name | Mrs. KAUSHALYA DEVI | Contact No | 8902834352 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||