Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06927 | Date 03/06/2024 |
| Token No | SM/25-26/10878 22/11/2025 | Serial | 093 |
| Patient Name | Miss DEBASMITA DAS | Contact No | 9903459226 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||