Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06390 | Date 07/03/2024 |
| Token No | SM/22-23/19569 07/03/2024 | Serial | 046 |
| Patient Name | Miss SWASTIKA GHOSAL | Contact No | 9088684787 |
| Address | B/A/2/17 B B GHOSH ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||