Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05882 | Date 16/12/2023 |
| Token No | SM/22-23/16588 16/12/2023 | Serial | 021 |
| Patient Name | Mrs. LILAWATI DEVI | Contact No | 6291812406 |
| Address | 95 NEW MAHESH SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||