Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03491 | Date 24/12/2022 |
| Token No | SM/22-23/5615 24/12/2022 | Serial | 016 |
| Patient Name | Mrs. KRISHNA NAYEK | Contact No | 8018409419 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||