Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05545 | Date 01/11/2023 |
| Token No | SM/22-23/14933 01/11/2023 | Serial | 015 |
| Patient Name | Miss TRISHA CHAKLADAR | Contact No | 7044134950 |
| Address | 65/19/2 M J ROAD SERAMPORE M 712249 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||