Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03948 | Date 16/03/2023 |
| Token No | SM/22-23/7599 16/03/2023 | Serial | 024 |
| Patient Name | Miss PRAPTI JHA | Contact No | 7890085109 |
| Address | 13/52 B B GHOSH ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 11 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||