Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07227 | Date 28/06/2024 |
| Token No | SM/25-26/11866 13/12/2025 | Serial | 011 |
| Patient Name | Miss RITTIKA DAS | Contact No | 8917252790 |
| Address | 72A/10 D N BHATTACHARYA SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||