Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06121 | Date 29/01/2024 |
| Token No | SM/24-25/33450 30/12/2024 | Serial | 048 |
| Patient Name | Mrs. PUJA DEVI | Contact No | 6204187942 |
| Address | 65/7/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||