Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08693 | Date 08/02/2025 |
| Token No | SM/25-26/5338 25/07/2025 | Serial | 020 |
| Patient Name | Miss SAMRIDHI DUTTA | Contact No | 9748556285 |
| Address | SATGHARA PURBAPARA MALLICKPARA SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||