Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04793 | Date 11/08/2023 |
| Token No | SM/22-23/11691 11/08/2023 | Serial | 011 |
| Patient Name | Miss ANITA MALIK | Contact No | 6295944288 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||