Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06760 | Date 10/05/2024 |
| Token No | SM/25-26/11131 28/11/2025 | Serial | 020 |
| Patient Name | Mrs. PUJA GIRI | Contact No | 9821902388 |
| Address | 165 NEW MAHESH SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||