Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04245 | Date 29/05/2023 |
| Token No | SM/22-23/13174 16/09/2023 | Serial | 024 |
| Patient Name | Miss BANDANA KANDAL | Contact No | 9330598813 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||