Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09533 | Date 03/07/2025 |
| Token No | SM/25-26/4333 03/07/2025 | Serial | 031 |
| Patient Name | Miss ANANYA SHAW | Contact No | 9163517547 |
| Address | KABAR KHOLA NETAJI PALLY SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||