Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07535 | Date 27/07/2024 |
| Token No | SM/25-26/5005 19/07/2025 | Serial | 036 |
| Patient Name | Mrs. LALITA DEVI | Contact No | 6291531987 |
| Address | 8/B/10 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||