Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06046 | Date 10/01/2024 |
| Token No | SM/25-26/704 16/04/2025 | Serial | 019 |
| Patient Name | Miss MEGNA DAS | Contact No | 8420379977 |
| Address | NEW MAHESH SERAMPORE 712203 | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||