Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08517 | Date 08/01/2025 |
| Token No | SM/24-25/33866 08/01/2025 | Serial | 017 |
| Patient Name | Mrs. ASHA DEBI SINGH | Contact No | 9836994162 |
| Address | 152 NEW MAHESH SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||