Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08420 | Date 19/12/2024 |
| Token No | SM/24-25/33121 23/12/2024 | Serial | 023 |
| Patient Name | Mrs. SUMITA DEY | Contact No | 6289679107 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||