Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09257 | Date 08/05/2025 |
| Token No | SM/25-26/1765 08/05/2025 | Serial | 067 |
| Patient Name | Mrs. RINA KUMARI | Contact No | 8583026709 |
| Address | 195 NEW MAHESH SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||