Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08992 | Date 29/03/2025 |
| Token No | SM/24-25/37609 29/03/2025 | Serial | 006 |
| Patient Name | Miss NAINA CHOWDHURY | Contact No | 7439267322 |
| Address | 55 ROY LAND ROAD SERAMPORE 712201 | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||