Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09502 | Date 26/06/2025 |
| Token No | SM/25-26/4003 26/06/2025 | Serial | 023 |
| Patient Name | Miss ANWESHA KANTI | Contact No | 9432495829 |
| Address | 9/A TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||