Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09882 | Date 03/09/2025 |
| Token No | SM/25-26/7408 03/09/2025 | Serial | 064 |
| Patient Name | Mrs. RENU DEVI | Contact No | 9903014208 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||