Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03288 | Date 30/11/2022 |
| Token No | SM/22-23/11732 11/08/2023 | Serial | 052 |
| Patient Name | Miss SRISHTI SINGH | Contact No | 8420462930 |
| Address | 165/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||