Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02625 | Date 05/09/2022 |
| Token No | SM/25-26/15435 02/03/2026 | Serial | 011 |
| Patient Name | Mrs. SANDHYA BAJAL | Contact No | 9903259733 |
| Address | 217 NEW MAHESH SERAMPORE 712203 | Age | 68 Years,2 Months,29 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 108/60 mmHg | Weight | 60 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||