Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08122 | Date 29/10/2024 |
| Token No | SM/24-25/30305 29/10/2024 | Serial | 026 |
| Patient Name | Miss CHANCHAL BHARATI | Contact No | 8100520593 |
| Address | 157/A NEW MAHESH SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||