Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 08105 | Date 26/10/2024 |
| Token No | SM/24-25/30169 26/10/2024 | Serial | 061 |
| Patient Name | Mrs. ROTI ROUTH | Contact No | 7278311629 |
| Address | 1/A PARSHI LANE SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||