Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07611 | Date 07/08/2024 |
| Token No | SM/24-25/26205 07/08/2024 | Serial | 080 |
| Patient Name | Mrs. TAMA DAS | Contact No | 9875645427 |
| Address | 65/20/4 JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||