Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05441 | Date 16/10/2023 |
| Token No | SM/24-25/30504 02/11/2024 | Serial | 023 |
| Patient Name | Mrs. SHIWANI SHAW | Contact No | 7439006055 |
| Address | 65/25/5B/1 MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||