Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07771 | Date 30/08/2024 |
| Token No | SM/24-25/27369 30/08/2024 | Serial | 002 |
| Patient Name | Mrs. JYOTI DOM | Contact No | 8250185200 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||