Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07489 | Date 19/07/2024 |
| Token No | SM/25-26/9829 03/11/2025 | Serial | 002 |
| Patient Name | Miss MOUMI CHAKRABORTY | Contact No | 9748932621 |
| Address | 65/22/4 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||