Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03294 | Date 30/11/2022 |
| Token No | SM/22-23/4911 30/11/2022 | Serial | 046 |
| Patient Name | Miss NANDINI SRIVASTAB | Contact No | |
| Address | HARIJAN QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 11 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||