Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04986 | Date 28/08/2023 |
| Token No | SM/22-23/15790 24/11/2023 | Serial | 027 |
| Patient Name | Miss SUBHASREE DAS | Contact No | 6291861631 |
| Address | 9 NEW MAHESH SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 29 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||