Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09769 | Date 18/08/2025 |
| Token No | SM/25-26/11451 04/12/2025 | Serial | 050 |
| Patient Name | Miss PAYEL KUMARI KAHAR | Contact No | 8478837328 |
| Address | 97/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||