Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03288 | Date 30/11/2022 |
| Token No | SM/25-26/9687 30/10/2025 | Serial | 044 |
| Patient Name | Miss SRISHTI SINGH | Contact No | 8420462930 |
| Address | 165/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||