Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05314 | Date 03/10/2023 |
| Token No | SM/24-25/32127 02/12/2024 | Serial | 045 |
| Patient Name | Mrs. RIVA DEVI | Contact No | 9875564226 |
| Address | 159 NEW MAHESH SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||