Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05478 | Date 19/10/2023 |
| Token No | SM/22-23/14610 19/10/2023 | Serial | 030 |
| Patient Name | Miss VISHAKA SHAW | Contact No | 6290531242 |
| Address | 97/F/4/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||