Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04552 | Date 20/07/2023 |
| Token No | SM/22-23/10724 20/07/2023 | Serial | 015 |
| Patient Name | Mrs. SANGITA DEVI BHARATI | Contact No | 6289499404 |
| Address | 157 NEW MAHESH SERAMPORE M 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||