Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07007 | Date 14/06/2024 |
| Token No | SM/25-26/9381 18/10/2025 | Serial | 027 |
| Patient Name | Miss BARSHA BISWAS | Contact No | 9007793607 |
| Address | 43/40 PRAVASHNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||