Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03278 | Date 29/11/2022 |
| Token No | SM/25-26/1756 08/05/2025 | Serial | 058 |
| Patient Name | Miss PRIYA SINGH | Contact No | 9804681041 |
| Address | 37/M JANNAGAR ROAD SERAMPORE M MAHESH 1 712202 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||