Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00041 | Date 07/09/2019 |
| Token No | SM/22-23/19111 27/02/2024 | Serial | 028 |
| Patient Name | Mrs. SANCHITA DAS | Contact No | |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||