Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10262 | Date 03/12/2025 |
| Token No | SM/25-26/11411 04/12/2025 | Serial | 010 |
| Patient Name | Miss JIYA BHUIYA | Contact No | 9748498012 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||