Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08301 | Date 27/11/2024 |
| Token No | SM/25-26/12033 16/12/2025 | Serial | 033 |
| Patient Name | Mrs. JYOTI KUMARI GIRI | Contact No | 9163330432 |
| Address | 203 NEW MAHESH SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||