Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08874 | Date 10/03/2025 |
| Token No | SM/24-25/36763 10/03/2025 | Serial | 095 |
| Patient Name | Miss SHIVANI MAHATO | Contact No | 9798374143 |
| Address | 13 B B GHOSH ROAD SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||