Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05677 | Date 17/11/2023 |
| Token No | SM/25-26/5654 01/08/2025 | Serial | 014 |
| Patient Name | Miss RISHITA THAKUR | Contact No | 8230876133 |
| Address | 13/29 B B GHOSH ROAD SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||