Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05933 | Date 26/12/2023 |
| Token No | SM/22-23/16893 26/12/2023 | Serial | 020 |
| Patient Name | Mrs. RAKESHWRY DALUI | Contact No | 9038286821 |
| Address | 3 DINEN BHATTACHARYA SARANI SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||