Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08701 | Date 10/02/2025 |
| Token No | SM/24-25/35470 10/02/2025 | Serial | 041 |
| Patient Name | Miss SNIGDHA SAHA | Contact No | 6290041261 |
| Address | 8/A/2/10 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||