Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09674 | Date 30/07/2025 |
| Token No | SM/25-26/5584 30/07/2025 | Serial | 050 |
| Patient Name | Miss RITTIKA BHUIYA | Contact No | 6290013324 |
| Address | HARIJAN QUARTER MALLICKPARA SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||