Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03534 | Date 30/12/2022 |
| Token No | SM/25-26/7465 04/09/2025 | Serial | 037 |
| Patient Name | Mrs. TANUJA SINGH | Contact No | 9836994162 |
| Address | 152 NEW MAHESH SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||