Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06256 | Date 10/02/2024 |
| Token No | SM/22-23/20118 23/03/2024 | Serial | 008 |
| Patient Name | Miss MOUSUMI HARI | Contact No | 9674974019 |
| Address | HARIJAN QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||