Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09880 | Date 03/09/2025 |
| Token No | SM/25-26/9176 15/10/2025 | Serial | 065 |
| Patient Name | Miss PRIYASHA HALDER | Contact No | 8820577006 |
| Address | GHORAMARA MALLICKPARA SERAMPORE 712203 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||