Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09806 | Date 25/08/2025 |
| Token No | SM/25-26/6831 25/08/2025 | Serial | 065 |
| Patient Name | Mrs. SWATI SHAW | Contact No | 6290427537 |
| Address | 90 NEW MAHESH SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||