Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05156 | Date 16/09/2023 |
| Token No | SM/22-23/13164 16/09/2023 | Serial | 014 |
| Patient Name | Miss MUSKAN KANDAL | Contact No | 9330598813 |
| Address | 2 B B GHOSH ROAD SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||