Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01379 | Date 08/04/2020 |
| Token No | SM/25-26/12178 20/12/2025 | Serial | 018 |
| Patient Name | Mrs. ADITI GHARUI | Contact No | 7449452031 |
| Address | 38/C B B GHOSH ROAD SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | 133CM cm |
| Diagnosis | |||