Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04782 | Date 10/08/2023 |
| Token No | SM/22-23/11637 10/08/2023 | Serial | 027 |
| Patient Name | Miss MOUSUMI NAYEK | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||