Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03418 | Date 15/12/2022 |
| Token No | SM/22-23/17559 17/01/2024 | Serial | 044 |
| Patient Name | Miss SHIBANI THAKUR | Contact No | 7044679877 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||