Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01363 | Date 06/04/2020 |
| Token No | SM/25-26/10996 25/11/2025 | Serial | 025 |
| Patient Name | Miss PAYEL GIRI | Contact No | 8981252245 |
| Address | 165 NEW MAHESH SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||