Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07999 | Date 07/10/2024 |
| Token No | SM/24-25/29300 08/10/2024 | Serial | 016 |
| Patient Name | Mrs. RAKHI SHAW | Contact No | 8617722521 |
| Address | 71 NEW MAHESH SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||