Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09439 | Date 12/06/2025 |
| Token No | SM/25-26/3422 12/06/2025 | Serial | 040 |
| Patient Name | Mrs. MEERA DEVI | Contact No | 9129692572 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||