Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02335 | Date 28/07/2022 |
| Token No | SM/25-26/4587 12/07/2025 | Serial | 008 |
| Patient Name | Miss SONI KUMARI SHAW | Contact No | 9062932108 |
| Address | 151 NEW MAHESH SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||