Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06658 | Date 29/04/2024 |
| Token No | SM/25-26/10345 13/11/2025 | Serial | 014 |
| Patient Name | Mrs. SONI SINGH | Contact No | 9088787397 |
| Address | 10 NEW MAHESH SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||