Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05453 | Date 17/10/2023 |
| Token No | SM/22-23/14488 17/10/2023 | Serial | 031 |
| Patient Name | Miss SWASTIKA DEBNATH | Contact No | 7890287350 |
| Address | 20/E PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||