Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01684 | Date 25/05/2022 |
| Token No | SM/24-25/33814 07/01/2025 | Serial | 026 |
| Patient Name | Mrs. MIRA MISHRA | Contact No | 9088770763 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||