Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04937 | Date 24/08/2023 |
| Token No | SM/24-25/20477 03/04/2024 | Serial | 029 |
| Patient Name | Miss DEBANGSHI BHATTACHARJEE | Contact No | 6290573598 |
| Address | 22/24/5 F D ROAD SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||