Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03603 | Date 13/01/2023 |
| Token No | SM/22-23/6078 13/01/2023 | Serial | 031 |
| Patient Name | Miss DISHA MAJUMDER | Contact No | 9088450173 |
| Address | 192/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 13 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||