Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01107 | Date 28/02/2020 |
| Token No | SM/22-23/13528 25/09/2023 | Serial | 041 |
| Patient Name | Mrs. LAXMI PRASAD | Contact No | 8478964527 |
| Address | 227 NEW MAHESH SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||