Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08553 | Date 16/01/2025 |
| Token No | SM/24-25/34168 16/01/2025 | Serial | 008 |
| Patient Name | Mrs. MINA SHAW | Contact No | 9330879793 |
| Address | 65/19/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||