Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03297 | Date 30/11/2022 |
| Token No | SM/22-23/4916 30/11/2022 | Serial | 051 |
| Patient Name | Miss RIYA BERA | Contact No | 8759225450 |
| Address | HARIJAN QUARTER B B GHOSH ROAD SERAMPORE 712203 | Age | 13 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||