Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07208 | Date 28/06/2024 |
| Token No | SM/25-26/5653 01/08/2025 | Serial | 013 |
| Patient Name | Miss ADIT THAKUR | Contact No | 8230876133 |
| Address | 13/29 SARADA PALLY PRABASHNAGAR SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||