Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02000 | Date 22/06/2022 |
| Token No | SM/24-25/37498 27/03/2025 | Serial | 004 |
| Patient Name | Mrs. MOUMITA DAS | Contact No | 9051606412 |
| Address | 47 NEW MAHESH SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||