Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08146 | Date 02/11/2024 |
| Token No | SM/25-26/3837 21/06/2025 | Serial | 043 |
| Patient Name | Miss RIYA THAKUR | Contact No | 9007303090 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||