Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09414 | Date 09/06/2025 |
| Token No | SM/25-26/3219 09/06/2025 | Serial | 044 |
| Patient Name | Mrs. MANU DEBI PASWAN | Contact No | 6291795385 |
| Address | 30/3 NEW MAHESH SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||