Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05604 | Date 06/11/2023 |
| Token No | SM/24-25/30636 05/11/2024 | Serial | 027 |
| Patient Name | Mrs. SUDOMIA DEVI | Contact No | 9007095810 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||