Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07128 | Date 25/06/2024 |
| Token No | SM/25-26/4839 17/07/2025 | Serial | 016 |
| Patient Name | Miss SWEETY PRASAD | Contact No | 8420811217 |
| Address | 41/3 N S ROAD RISHRA HOOGHLY 712248 | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||