Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09736 | Date 11/08/2025 |
| Token No | SM/25-26/12080 17/12/2025 | Serial | 027 |
| Patient Name | Mrs. MAMONI BHANDARI | Contact No | 7501600794 |
| Address | 65/25/29 PRAVASHNAGAR SERAMPORE 712249 | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||