Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05957 | Date 27/12/2023 |
| Token No | SM/22-23/16964 27/12/2023 | Serial | 053 |
| Patient Name | Miss SRABANTI BAKSHI | Contact No | 9641308712 |
| Address | 12/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||