Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05260 | Date 27/09/2023 |
| Token No | SM/22-23/13598 27/09/2023 | Serial | 005 |
| Patient Name | Mrs. LILI NAYEK | Contact No | 8272907803 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||