Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07881 | Date 10/09/2024 |
| Token No | SM/24-25/27997 10/09/2024 | Serial | 013 |
| Patient Name | Mrs. MAMATA BAG | Contact No | 8013125980 |
| Address | 3/A D CRUZE GARDEN LANE MALLICKPARA SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||