Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08532 | Date 11/01/2025 |
| Token No | SM/24-25/34021 11/01/2025 | Serial | 017 |
| Patient Name | Mrs. MUNNI SHAW | Contact No | 8697517256 |
| Address | 66/D/4 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||