Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08269 | Date 23/11/2024 |
| Token No | SM/24-25/31670 23/11/2024 | Serial | 036 |
| Patient Name | Mrs. SHARDA DEVI | Contact No | 9748607021 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||