Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05332 | Date 04/10/2023 |
| Token No | SM/22-23/19192 29/02/2024 | Serial | 001 |
| Patient Name | Baby SREEJITA SAHA | Contact No | 8100056320 |
| Address | 34/B/57 B B GHOSH ROAD SERAMPORE 712203 | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||