Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02039 | Date 24/06/2022 |
| Token No | SM/22-23/16527 14/12/2023 | Serial | 036 |
| Patient Name | Miss ANU RADHA KUMARI | Contact No | 9681359307 |
| Address | 13/86 B B GHOSH ROAD SERAMPORE HOOGHLY 712203 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||