Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01012 | Date 18/02/2020 |
| Token No | SM/25-26/5502 28/07/2025 | Serial | 097 |
| Patient Name | Mrs. PUNAM KUMARI | Contact No | 9163873180 |
| Address | 54 NEW MAHESH SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||