Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07554 | Date 01/08/2024 |
| Token No | SM/24-25/36390 04/03/2025 | Serial | 045 |
| Patient Name | Miss PRIYANKA BHUIYA | Contact No | 9875317997 |
| Address | NEW MAHESH SERAMPORE 7122203 | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||