Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05165 | Date 16/09/2023 |
| Token No | SM/22-23/13198 16/09/2023 | Serial | 048 |
| Patient Name | Mrs. SARDHA DEVI | Contact No | 7044015763 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||