Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04955 | Date 25/08/2023 |
| Token No | SM/22-23/12345 25/08/2023 | Serial | 040 |
| Patient Name | Miss ANKITA BHOWMICK | Contact No | 8981116035 |
| Address | 17/B SERAMPORE 2NO COLONY SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||