Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00954 | Date 14/02/2020 |
| Token No | SM/24-25/35413 08/02/2025 | Serial | 050 |
| Patient Name | Mrs. LAJO DEVI SHAW | Contact No | 9330803193 |
| Address | 220 NEW MAHESH SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||