Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 07612 | Date 07/08/2024 |
| Token No | SM/24-25/26209 07/08/2024 | Serial | 084 |
| Patient Name | Mrs. REKHA KUMARI | Contact No | 7295998976 |
| Address | 21 NO RAILAND ROAD SERAMPORE 712201 | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||