Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08040 | Date 18/10/2024 |
| Token No | SM/25-26/3200 09/06/2025 | Serial | 025 |
| Patient Name | Mrs. SUNITA SHAW | Contact No | 9393402564 |
| Address | 48 NEW MAHESH SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||