Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04802 | Date 11/08/2023 |
| Token No | SM/22-23/11735 11/08/2023 | Serial | 055 |
| Patient Name | Miss TANIYA DAS | Contact No | 7076437278 |
| Address | 9/A/2 PRABASHNAGAR SERAMPORE 712249 | Age | 7 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||