Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00323 | Date 01/11/2019 |
| Token No | SM/22-23/4909 30/11/2022 | Serial | 044 |
| Patient Name | Miss MEGHA RABIDAS | Contact No | |
| Address | HARIJAN QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 12 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||