Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09161 | Date 23/04/2025 |
| Token No | SM/25-26/5059 21/07/2025 | Serial | 042 |
| Patient Name | Mrs. MINADEVI SHAW | Contact No | 7596923032 |
| Address | 63 NEW MAHESH SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||