Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09893 | Date 05/09/2025 |
| Token No | SM/25-26/7518 05/09/2025 | Serial | 008 |
| Patient Name | Miss SAYANTI SAMADDAR | Contact No | 7044695813 |
| Address | 72/A/6 PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||