Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08209 | Date 15/11/2024 |
| Token No | SM/25-26/10678 19/11/2025 | Serial | 038 |
| Patient Name | Mrs. PURNIMA MONDAL | Contact No | 7044743047 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||