Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02944 | Date 20/10/2022 |
| Token No | SM/24-25/33669 04/01/2025 | Serial | 015 |
| Patient Name | Mrs. PRABHA SHAW | Contact No | 9073088145 |
| Address | 220 NEW MAHESH SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||