Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 04115 | Date 28/04/2023 |
| Token No | SM/25-26/12144 19/12/2025 | Serial | 008 |
| Patient Name | Miss NEHA SANYAL | Contact No | 7439738322 |
| Address | 1/338 MAHESH COLONY SERAMPORE 712202 | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||