Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08295 | Date 27/11/2024 |
| Token No | SM/24-25/31870 27/11/2024 | Serial | 019 |
| Patient Name | Mrs. IRA BOSU | Contact No | 9007779802 |
| Address | 65/7/7-A PRAVASHNAGAR SERAMPORE 712249 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||