Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09577 | Date 16/07/2025 |
| Token No | SM/25-26/4802 16/07/2025 | Serial | 059 |
| Patient Name | Miss LALI BHUIYA | Contact No | 6290680947 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 16 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||