Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00433 | Date 23/11/2019 |
| Token No | SM/25-26/7451 04/09/2025 | Serial | 023 |
| Patient Name | Miss JESSICA SINGH | Contact No | 6289096395 |
| Address | 162/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||