Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08625 | Date 29/01/2025 |
| Token No | SM/24-25/34854 29/01/2025 | Serial | 083 |
| Patient Name | Miss PRITI DHARA | Contact No | 9330825257 |
| Address | 100 NEW MAHESH SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||