Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02920 | Date 17/10/2022 |
| Token No | SM/24-25/37125 20/03/2025 | Serial | 008 |
| Patient Name | Miss DIVYA NAYEK | Contact No | 7603083992 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||