Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04515 | Date 15/07/2023 |
| Token No | SM/22-23/10572 15/07/2023 | Serial | 019 |
| Patient Name | Miss SOUMANI KARMAKAR | Contact No | 9088556347 |
| Address | 24/A/1 RAJA K L GOSWAMI STREET SERAMPORE 712201 | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||