Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08127 | Date 30/10/2024 |
| Token No | SM/25-26/10170 08/11/2025 | Serial | 065 |
| Patient Name | Miss RIKIYA DAS | Contact No | 7980633488 |
| Address | 9 B B GHOSH ROAD SERAMPORE MALLIKPARA 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||