Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06127 | Date 30/01/2024 |
| Token No | SM/22-23/17925 30/01/2024 | Serial | 014 |
| Patient Name | Miss BARSHA DAS | Contact No | 8017131672 |
| Address | 118/3/A PRABASHNAGAR SERAMPORE 712249 | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||