Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04602 | Date 25/07/2023 |
| Token No | SM/22-23/11193 01/08/2023 | Serial | 034 |
| Patient Name | Miss JANVI PRASAD | Contact No | 9140334580 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||