Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07966 | Date 30/09/2024 |
| Token No | SM/24-25/28938 30/09/2024 | Serial | 036 |
| Patient Name | Mrs. UMA DEVI SHA | Contact No | 8013508655 |
| Address | 13/62 B B GHOSH ROAD SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||