Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09079 | Date 09/04/2025 |
| Token No | SM/25-26/2895 02/06/2025 | Serial | 018 |
| Patient Name | Miss BHUNI GHARAI | Contact No | 9062254166 |
| Address | 174/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||