Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02658 | Date 08/09/2022 |
| Token No | SM/25-26/10942 24/11/2025 | Serial | 043 |
| Patient Name | Miss ANKITA SHARMA | Contact No | 8100825118 |
| Address | 180 NEW MAHESH SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||