Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05464 | Date 18/10/2023 |
| Token No | SM/22-23/14669 20/10/2023 | Serial | 033 |
| Patient Name | Miss SAMPRITY SARKAR | Contact No | 9088401547 |
| Address | 2 NO SERAMPORE COLONY MALLICKPARA SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||