Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09616 | Date 23/07/2025 |
| Token No | SM/25-26/5185 23/07/2025 | Serial | 026 |
| Patient Name | Miss AYUSHI BAG | Contact No | 7980573167 |
| Address | 43/46 B B GHOSH ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||