Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05923 | Date 21/12/2023 |
| Token No | SM/24-25/29023 01/10/2024 | Serial | 053 |
| Patient Name | Mrs. ENDU DEVI | Contact No | 9661852206 |
| Address | PRAVASHNAGAR CHAKLAPARA JANNAGAR ROAD SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||