Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07826 | Date 04/09/2024 |
| Token No | SM/24-25/27685 04/09/2024 | Serial | 068 |
| Patient Name | Mrs. PRIYANKA SINGH | Contact No | 6297242299 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||