Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05723 | Date 24/11/2023 |
| Token No | SM/25-26/6252 12/08/2025 | Serial | 028 |
| Patient Name | Miss TRISHITA DEY | Contact No | 9088931242 |
| Address | 20/G/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 153CM cm |
| Diagnosis | |||