Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04534 | Date 18/07/2023 |
| Token No | SM/24-25/31967 28/11/2024 | Serial | 044 |
| Patient Name | Mrs. PUNAM DEVI | Contact No | 7352512821 |
| Address | 233 NEW MAHESH SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||