Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07321 | Date 02/07/2024 |
| Token No | SM/25-26/6725 22/08/2025 | Serial | 003 |
| Patient Name | Miss ARPITA JHA | Contact No | 9748696436 |
| Address | 34 B/41 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||