Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05574 | Date 03/11/2023 |
| Token No | SM/22-23/15108 03/11/2023 | Serial | 067 |
| Patient Name | Mrs. MINA BHUIYA | Contact No | 7596867428 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||