Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06029 | Date 08/01/2024 |
| Token No | SM/22-23/17311 08/01/2024 | Serial | 027 |
| Patient Name | Miss ISHIKA GIRI | Contact No | 9681857681 |
| Address | 190 NEW MAHESH SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||