Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08079 | Date 22/10/2024 |
| Token No | SM/24-25/29899 22/10/2024 | Serial | 072 |
| Patient Name | Mrs. SUDAMI | Contact No | 7044691843 |
| Address | 20/A/2A PRAVASHNAGAR SERAMPORE 712249 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||