Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03263 | Date 26/11/2022 |
| Token No | SM/25-26/7155 30/08/2025 | Serial | 017 |
| Patient Name | Mrs. KAMALA SHAW | Contact No | 9088711499 |
| Address | 136 NEW MAHESH SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||