Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02672 | Date 09/09/2022 |
| Token No | SM/25-26/733 16/04/2025 | Serial | 048 |
| Patient Name | Mrs. DEEPSIKHA KOIRI | Contact No | 7880609814 |
| Address | B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||