Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04497 | Date 13/07/2023 |
| Token No | SM/24-25/27196 24/08/2024 | Serial | 054 |
| Patient Name | Mrs. MUSKAN KUMARI | Contact No | 6289361320 |
| Address | 55 GURUGARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||