Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08396 | Date 16/12/2024 |
| Token No | SM/24-25/32821 16/12/2024 | Serial | 030 |
| Patient Name | Mrs. FULRA BHUIYA | Contact No | 9007744549 |
| Address | 52 NEW MAHESH SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||