Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03881 | Date 04/03/2023 |
| Token No | SM/22-23/7288 04/03/2023 | Serial | 043 |
| Patient Name | Miss SANJANA SHARMA | Contact No | 8240373242 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 7 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||