Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05630 | Date 09/11/2023 |
| Token No | SM/24-25/21013 22/04/2024 | Serial | 057 |
| Patient Name | Mrs. PUNAM NAYEK | Contact No | 9748136605 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||