Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05012 | Date 31/08/2023 |
| Token No | SM/22-23/12529 31/08/2023 | Serial | 015 |
| Patient Name | Miss GULAPSA KHATUN | Contact No | 7980415448 |
| Address | D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||