Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04567 | Date 22/07/2023 |
| Token No | SM/25-26/836 19/04/2025 | Serial | 004 |
| Patient Name | Miss MAMPEE BHUIYA | Contact No | 8777560893 |
| Address | 9/55/A M J ROAD SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||