Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05649 | Date 11/11/2023 |
| Token No | SM/22-23/15458 11/11/2023 | Serial | 008 |
| Patient Name | Miss SWEETY KUMARI DAS | Contact No | 8584965820 |
| Address | 107 PRAVASHNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||