Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 11220 | Date 15/10/2026 |
| Token No | SM/25-26/22653 26/10/2026 | Serial | 043 |
| Patient Name | Mrs. RAJANI PASWAN | Contact No | 9038549262 |
| Address | 30/3 NEW MAHESH MALLICKPARA SERAMPORE 712203 | Age | 30 Years,0 Months,24 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||