Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02470 | Date 17/08/2022 |
| Token No | SM/25-26/11758 10/12/2025 | Serial | 017 |
| Patient Name | Mrs. PUNAM DEVI | Contact No | 9831467620 |
| Address | 159 NEW MAHESH SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||