Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05099 | Date 09/09/2023 |
| Token No | SM/22-23/12887 09/09/2023 | Serial | 026 |
| Patient Name | Miss DIPEKA PRADHAN | Contact No | 9831332975 |
| Address | 100/X TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||