Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01244 | Date 20/03/2020 |
| Token No | SM/25-26/9296 16/10/2025 | Serial | 096 |
| Patient Name | Miss SANIA BAURI | Contact No | 6289387481 |
| Address | B B GHOSH ROAD SERAMPORE M 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||