Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05733 | Date 25/11/2023 |
| Token No | SM/22-23/15815 25/11/2023 | Serial | 009 |
| Patient Name | Mrs. SARASWATI NAYEK | Contact No | 9875440251 |
| Address | HARIJAN QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||