Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07636 | Date 09/08/2024 |
| Token No | SM/24-25/26385 09/08/2024 | Serial | 085 |
| Patient Name | Mrs. SADHNA KESAR | Contact No | 8777375119 |
| Address | 38/B GURUGARDEN ROAD SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||