Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00287 | Date 22/10/2019 |
| Token No | SM/24-25/21305 29/04/2024 | Serial | 021 |
| Patient Name | Miss ANUSHREE SETH | Contact No | 8617749087 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||