Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01898 | Date 13/06/2022 |
| Token No | SM/25-26/15440 02/03/2026 | Serial | 016 |
| Patient Name | Miss ANISHA SHAW | Contact No | 9875654457 |
| Address | 266 NEW MAHESH SERAMPORE 712203 | Age | 27 Years,2 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||