Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06576 | Date 16/04/2024 |
| Token No | SM/24-25/20789 16/04/2024 | Serial | 022 |
| Patient Name | Mrs. ANNAPURNA NAYEK | Contact No | 8240615130 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||