Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01716 | Date 27/05/2022 |
| Token No | SM/24-25/33683 04/01/2025 | Serial | 029 |
| Patient Name | Mrs. RINKU KUMARI RAJBHAR | Contact No | 9123821559 |
| Address | 117 NEW MAHESH SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||