Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04840 | Date 17/08/2023 |
| Token No | SM/22-23/11926 17/08/2023 | Serial | 009 |
| Patient Name | Miss RAYE GOPE | Contact No | 9088529248 |
| Address | 168 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||