Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08309 | Date 28/11/2024 |
| Token No | SM/24-25/31948 28/11/2024 | Serial | 025 |
| Patient Name | Mrs. JHARNA DAS | Contact No | 7059428183 |
| Address | 69 NEW MAHESH SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||