Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06141 | Date 31/01/2024 |
| Token No | SM/22-23/17983 31/01/2024 | Serial | 024 |
| Patient Name | Miss ISA SAHA | Contact No | 8017328621 |
| Address | 34/B/54 B.B GHOSH ROAD SERAMPORE M 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||