Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06026 | Date 08/01/2024 |
| Token No | SM/22-23/19895 16/03/2024 | Serial | 014 |
| Patient Name | Baby CHABI DAS | Contact No | |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||