Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03165 | Date 17/11/2022 |
| Token No | SM/22-23/11992 18/08/2023 | Serial | 024 |
| Patient Name | Baby TISHA DAS | Contact No | 8420333103 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||