Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09705 | Date 06/08/2025 |
| Token No | SM/25-26/5943 06/08/2025 | Serial | 061 |
| Patient Name | Miss ROSHNI DAS | Contact No | 8272917433 |
| Address | 3/I D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||