Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09110 | Date 16/04/2025 |
| Token No | SM/25-26/723 16/04/2025 | Serial | 038 |
| Patient Name | Miss ANISHA MALLICK | Contact No | 7980256328 |
| Address | 20 NEW MAHESH SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||