Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03013 | Date 01/11/2022 |
| Token No | SM/25-26/792 17/04/2025 | Serial | 026 |
| Patient Name | Miss ARPITA BHARTI | Contact No | 7036655215 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||