Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07329 | Date 02/07/2024 |
| Token No | SM/25-26/6735 22/08/2025 | Serial | 013 |
| Patient Name | Miss ROSHNI KUMARI | Contact No | 9163960053 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||