Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07141 | Date 26/06/2024 |
| Token No | SM/25-26/4859 17/07/2025 | Serial | 036 |
| Patient Name | Mrs. MANISHA SHAW | Contact No | 8902701357 |
| Address | 266 NEW MAHESH SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||