Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05572 | Date 03/11/2023 |
| Token No | SM/24-25/34641 25/01/2025 | Serial | 016 |
| Patient Name | Mrs. PUJA SHAW | Contact No | 8583848460 |
| Address | 186 NEW MAHESH SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||