Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05592 | Date 06/11/2023 |
| Token No | SM/25-26/5476 28/07/2025 | Serial | 071 |
| Patient Name | Miss MUSKAN KUMARI | Contact No | 9748135760 |
| Address | B B GHOSH ROAD HARIJAN BASTI SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||