Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07579 | Date 05/08/2024 |
| Token No | SM/25-26/10761 21/11/2025 | Serial | 007 |
| Patient Name | Mrs. BABY PRASAD | Contact No | 6289092653 |
| Address | 65/25/51 MAHESH JANNAGAR ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||