Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01277 | Date 25/03/2020 |
| Token No | SM/22-23/15930 29/11/2023 | Serial | 022 |
| Patient Name | Miss RASHI DEY | Contact No | 9674784016 |
| Address | 26/C PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||