Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00145 | Date 16/09/2019 |
| Token No | SM/24-25/34018 11/01/2025 | Serial | 014 |
| Patient Name | Miss KHUSBU SINGH | Contact No | 6291084616 |
| Address | 13 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||