Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07457 | Date 18/07/2024 |
| Token No | SM/25-26/9833 03/11/2025 | Serial | 006 |
| Patient Name | Miss SHREYA CHAKRABORTY | Contact No | 9163622634 |
| Address | 280 MAHESH COLONY SERAMPORE 712202 | Age | 13 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||