Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07708 | Date 20/08/2024 |
| Token No | SM/25-26/11968 15/12/2025 | Serial | 011 |
| Patient Name | Miss SANCHITA DEBNATH | Contact No | 9874887637 |
| Address | 57 NEW MAHESH SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||