Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05363 | Date 09/10/2023 |
| Token No | SM/22-23/14214 10/10/2023 | Serial | 048 |
| Patient Name | Miss ANANYA BAORI | Contact No | 9123073650 |
| Address | HARIJAN BASTI B.B GHOSH ROAD SERAMPORE 712203 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||