Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02470 | Date 17/08/2022 |
| Token No | SM/25-26/3641 17/06/2025 | Serial | 021 |
| Patient Name | Mrs. PUNAM DEVI | Contact No | 9831467620 |
| Address | 159 NEW MAHESH SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||