Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00241 | Date 25/09/2019 |
| Token No | SM/25-26/6563 19/08/2025 | Serial | 022 |
| Patient Name | Miss SUMAN BHUIYA | Contact No | 9831330813 |
| Address | D N BHATTACHARYA SARANI SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||