Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05907 | Date 19/12/2023 |
| Token No | SM/22-23/16707 19/12/2023 | Serial | 050 |
| Patient Name | Miss TIASHA DUTTA | Contact No | 8910857095 |
| Address | 65/11 PRAVASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||