Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 03951 | Date 17/03/2023 |
| Token No | SM/22-23/7619 17/03/2023 | Serial | 006 |
| Patient Name | Miss SUMARANI KARMAKAR | Contact No | 9874995020 |
| Address | 2 NO RAJYADHARPUR COLONY SERAMPORE 712203 | Age | 15 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||