Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02649 | Date 07/09/2022 |
| Token No | SM/22-23/12086 21/08/2023 | Serial | 022 |
| Patient Name | Miss MOHINI MAJUMDAR | Contact No | 8017196818 |
| Address | 50 NEW MAHESH SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||