Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04867 | Date 18/08/2023 |
| Token No | SM/22-23/12023 18/08/2023 | Serial | 055 |
| Patient Name | Miss PAYEL BANIK | Contact No | 7278510848 |
| Address | 43/32/D/1 SERAMPORE M PRAVASHNAGAR 712249 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||