Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08081 | Date 22/10/2024 |
| Token No | SM/25-26/6924 26/08/2025 | Serial | 027 |
| Patient Name | Miss ASHA ROY | Contact No | 9748604820 |
| Address | 105 NEW MAHESH SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||