Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07428 | Date 11/07/2024 |
| Token No | SM/24-25/30848 09/11/2024 | Serial | 076 |
| Patient Name | Mrs. KARISHMA SHAW | Contact No | 8777596093 |
| Address | 65/25/5/B/1 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||