Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04673 | Date 01/08/2023 |
| Token No | SM/22-23/15751 23/11/2023 | Serial | 033 |
| Patient Name | Miss PAYEL BHUIYA | Contact No | 8910674574 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||