Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05726 | Date 24/11/2023 |
| Token No | SM/22-23/15792 24/11/2023 | Serial | 029 |
| Patient Name | Miss DIBYA NAYEK | Contact No | 9330034695 |
| Address | 174/Y D BLOCK TARAPUKUR GOVT QUARTER SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||