Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04373 | Date 10/05/2021 |
| Token No | SM/22-23/14274 16/01/2024 | Serial | 003 |
| Patient Name | Miss SREYASHI DASGUPTA | Contact No | 8334052232 |
| Address | 10 DEY BAGAN LANE | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||