Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02140 | Date 04/07/2022 |
| Token No | SM/22-23/19269 01/03/2024 | Serial | 030 |
| Patient Name | Miss PAPRI SEN | Contact No | 9875536585 |
| Address | 65/25/11/A/3 GURU GARDEN ROAD SERAMPORE 712249 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||