Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07527 | Date 26/07/2024 |
| Token No | SM/25-26/10197 10/11/2025 | Serial | 011 |
| Patient Name | Miss NEHA CHOWDHURY | Contact No | 8013551710 |
| Address | 55 RAYLAND ROAD SERAMPORE 712201 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||