Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06032 | Date 08/01/2024 |
| Token No | SM/22-23/17318 08/01/2024 | Serial | 034 |
| Patient Name | Miss RABINA HARI | Contact No | 9903866561 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||