Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04447 | Date 06/07/2023 |
| Token No | SM/25-26/10415 14/11/2025 | Serial | 027 |
| Patient Name | Mrs. SULEKHA VERMA | Contact No | 9903873864 |
| Address | 13/36 B B GHOSH ROAD MAA SARADA PALLI SERAMPORE M 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||