Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08377 | Date 10/12/2024 |
| Token No | SM/24-25/32593 10/12/2024 | Serial | 023 |
| Patient Name | Mrs. REKHA HARIJAN MALLICK | Contact No | 9088357945 |
| Address | 20 NEW MAHESH SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||