Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07688 | Date 16/08/2024 |
| Token No | SM/24-25/34480 21/01/2025 | Serial | 054 |
| Patient Name | Miss SARMISTHA NAYAK | Contact No | 8622819777 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||