Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00539 | Date 12/12/2019 |
| Token No | SM/25-26/11630 08/12/2025 | Serial | 002 |
| Patient Name | Miss MEGHA SINGH | Contact No | 9674891496 |
| Address | 32 B B GHOSH ROAD SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||