Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03873 | Date 04/03/2023 |
| Token No | SM/22-23/7253 04/03/2023 | Serial | 008 |
| Patient Name | Mrs. LAKHI NAYEK | Contact No | 6290197765 |
| Address | 3/1 DE CRUZE GARDEN LANE SERAMPORE 712203 | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||