Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08948 | Date 24/03/2025 |
| Token No | SM/24-25/37330 24/03/2025 | Serial | 036 |
| Patient Name | Miss SAYANTIKA ROY | Contact No | 9874112150 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||