Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06255 | Date 10/02/2024 |
| Token No | SM/25-26/5236 23/07/2025 | Serial | 077 |
| Patient Name | Miss ROOHEE KANDAL | Contact No | 9330598813 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||