Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09549 | Date 07/07/2025 |
| Token No | SM/25-26/4453 07/07/2025 | Serial | 048 |
| Patient Name | Mrs. PRIYA SHARMA | Contact No | 9330624960 |
| Address | 89 NEW MAHESH SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||