Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06789 | Date 15/05/2024 |
| Token No | SM/24-25/32556 09/12/2024 | Serial | 098 |
| Patient Name | Mrs. CHANDAN KUMARI SINGH | Contact No | 9883636580 |
| Address | 65/25/19/A WEST JANNAGAR ROAD SERAMPORE M PRAVASHNAGAR 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||