Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09649 | Date 28/07/2025 |
| Token No | SM/25-26/11930 13/12/2025 | Serial | 075 |
| Patient Name | Mrs. ANITA BHUIYA | Contact No | 9123077577 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||