Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05664 | Date 16/11/2023 |
| Token No | SM/22-23/15541 16/11/2023 | Serial | 024 |
| Patient Name | Mrs. MANJU NAYEK | Contact No | 7003304489 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||