Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05556 | Date 02/11/2023 |
| Token No | SM/22-23/15104 03/11/2023 | Serial | 063 |
| Patient Name | Miss JYOTI SHAW | Contact No | 9748194876 |
| Address | 3 MASJID ROAD RISHRA SERAMPORE UTTARPARA 712248 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||