Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02558 | Date 25/08/2022 |
| Token No | SM/22-23/9270 02/06/2023 | Serial | 015 |
| Patient Name | Mrs. LAXMI SHAW | Contact No | 9681168624 |
| Address | 151 NEW MAHESH SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||