Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09962 | Date 15/09/2025 |
| Token No | SM/25-26/8024 15/09/2025 | Serial | 040 |
| Patient Name | Miss RUHI KHATUN | Contact No | 8910497610 |
| Address | 23 L B S ROAD SERAMPORE 712201 | Age | 8 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||