Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05687 | Date 18/11/2023 |
| Token No | SM/22-23/15618 18/11/2023 | Serial | 010 |
| Patient Name | Miss TAMOSHA DEY | Contact No | 9051051081 |
| Address | 12 ROY LAND ROAD SERAMPORE 712202 | Age | 6 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||