Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09833 | Date 28/08/2025 |
| Token No | SM/25-26/7063 28/08/2025 | Serial | 072 |
| Patient Name | Miss SHREYA SARDAR | Contact No | 9088490767 |
| Address | 8/A/2/26 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||