Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06508 | Date 01/04/2024 |
| Token No | SM/25-26/4783 16/07/2025 | Serial | 040 |
| Patient Name | Mrs. SABITRI DEVI | Contact No | 6291748148 |
| Address | 228 NEW MAHESH SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||