Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06444 | Date 18/03/2024 |
| Token No | SM/22-23/19959 18/03/2024 | Serial | 056 |
| Patient Name | Miss MITHI RAJBONSHI | Contact No | 9875317458 |
| Address | 66/B/1 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||