Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01497 | Date 27/04/2020 |
| Token No | SM/25-26/10630 18/11/2025 | Serial | 029 |
| Patient Name | Mrs. ANITA NAYEK | Contact No | 7003304489 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||