Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07640 | Date 10/08/2024 |
| Token No | SM/25-26/1256 26/04/2025 | Serial | 041 |
| Patient Name | Miss MOUPARNA DAS | Contact No | 9051606412 |
| Address | 47 NEW MAHESH SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||