Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02313 | Date 27/07/2022 |
| Token No | SM/22-23/7645 17/03/2023 | Serial | 032 |
| Patient Name | Miss MUSKAN GOSWAMI | Contact No | 8276969135 |
| Address | 97/P/5 PRABASHNAGAR SERAMPORE 712249 | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||