Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04089 | Date 25/04/2023 |
| Token No | SM/22-23/8386 25/04/2023 | Serial | 012 |
| Patient Name | Miss ANTARA SANTRA | Contact No | 8001240150 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 6 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||