Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00495 | Date 03/12/2019 |
| Token No | SM/22-23/13775 29/09/2023 | Serial | 072 |
| Patient Name | Baby BHUMI GHARAI | Contact No | 6289345403 |
| Address | 174/Y TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||