Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06418 | Date 12/03/2024 |
| Token No | SM/25-26/11080 27/11/2025 | Serial | 033 |
| Patient Name | Miss RIYA KUMARI SINGH | Contact No | 8274035880 |
| Address | 13 B B GHOSH ROAD SERAMPORE 712249 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||