Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05259 | Date 27/09/2023 |
| Token No | SM/22-23/14005 06/10/2023 | Serial | 010 |
| Patient Name | Miss SAMPURNA SARKAR | Contact No | 9088401547 |
| Address | 2 NO SERAMPORE COLONY SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||