Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05963 | Date 28/12/2023 |
| Token No | SM/22-23/16986 28/12/2023 | Serial | 017 |
| Patient Name | Mrs. SAPNA RABIDAS | Contact No | 9836660451 |
| Address | 34B/39 SUKANTA PALLY SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||