Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10226 | Date 27/11/2025 |
| Token No | SM/25-26/11076 27/11/2025 | Serial | 029 |
| Patient Name | Mrs. MANGALA NUNIYA | Contact No | 8100825118 |
| Address | 180 NEW MAHESH SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||