Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02981 | Date 22/10/2022 |
| Token No | SM/22-23/15416 10/11/2023 | Serial | 014 |
| Patient Name | Miss KRITTIKA DAS | Contact No | 9163777647 |
| Address | D N BHATTACHARYA SARANI SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||