Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05551 | Date 01/11/2023 |
| Token No | SM/22-23/14963 01/11/2023 | Serial | 045 |
| Patient Name | Miss RITWIKA DAS | Contact No | 9330534591 |
| Address | 1/D ROY LAND ROAD SERAMPORE M 712201 | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||