Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01799 | Date 01/06/2022 |
| Token No | SM/24-25/22738 05/06/2024 | Serial | 041 |
| Patient Name | Mrs. MANISHA GIRI | Contact No | 8902701357 |
| Address | 266 NEW MAHESH SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||