Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06838 | Date 23/05/2024 |
| Token No | SM/25-26/11519 06/12/2025 | Serial | 017 |
| Patient Name | Miss PRITI CHOUDHURI | Contact No | 8013551710 |
| Address | 56 NO ROY LAND ROAD SERAMPORE HOOGHLY 712201 | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||