Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09205 | Date 03/05/2025 |
| Token No | SM/25-26/1488 03/05/2025 | Serial | 025 |
| Patient Name | Miss DIYA GANGULY | Contact No | 9836157029 |
| Address | 397 G T ROAD MAHESH SERAMPORE 712202 | Age | 11 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||