Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01638 | Date 23/05/2022 |
| Token No | SM/22-23/19013 24/02/2024 | Serial | 023 |
| Patient Name | Miss KHUSBHU KUMARI SINGH | Contact No | 9836138266 |
| Address | 13 B B GHOSH ROAD PRAVASHNAGAR SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||