Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06491 | Date 28/03/2024 |
| Token No | SM/24-25/21481 03/05/2024 | Serial | 076 |
| Patient Name | Miss SHIBANYA BAURI | Contact No | 6289387481 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||