Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07074 | Date 21/06/2024 |
| Token No | SM/25-26/10910 24/11/2025 | Serial | 011 |
| Patient Name | Miss SHADHNA KUMARI | Contact No | 9330622070 |
| Address | 238 NEW MAHESH SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||