Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06602 | Date 20/04/2024 |
| Token No | SM/24-25/36614 08/03/2025 | Serial | 024 |
| Patient Name | Mrs. SUSMITA NAYEK | Contact No | 7278159415 |
| Address | 128/B PATUA PARA LANE SERAMPORE 712201 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||