Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01073 | Date 25/02/2020 |
| Token No | SM/22-23/10320 08/07/2023 | Serial | 008 |
| Patient Name | Mrs. SUVOPRIYA CHAKRABORTY | Contact No | 9163675231 |
| Address | 3/1/A D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||