Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07760 | Date 28/08/2024 |
| Token No | SM/24-25/27778 05/09/2024 | Serial | 062 |
| Patient Name | Mrs. SITA RAM BHUIYA | Contact No | 9330229692 |
| Address | BLOCK A B B GHOSH ROAD SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||