Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03238 | Date 24/11/2022 |
| Token No | SM/22-23/7277 04/03/2023 | Serial | 032 |
| Patient Name | Miss SANDHYA CHOUDHURI | Contact No | 8100368423 |
| Address | 29/C PRABASHNAGAR SERAMPORE 712249 | Age | 9 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||