Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07625 | Date 09/08/2024 |
| Token No | SM/25-26/11299 01/12/2025 | Serial | 027 |
| Patient Name | Miss RITTIKA SAHA | Contact No | 6289094385 |
| Address | 9/A TARAPUKUR LANE SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||