Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03696 | Date 01/02/2023 |
| Token No | SM/22-23/6477 01/02/2023 | Serial | 044 |
| Patient Name | Mrs. DIPALI BHUIYA | Contact No | |
| Address | HARIJAN BASTI SERAMPORE 712203 | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||